Evidence map›Paper›PMID 25960343›Full record

ArticleNature communications2015

Four decades of transmission of a multidrug-resistant Mycobacterium tuberculosis outbreak strain.

Vegard Eldholm, Johana Monteserin, Adrien Rieux, Beatriz Lopez, Benjamin Sobkowiak, Viviana Ritacco, Francois Balloux

Abstract read
In one paragraph

Article in Nature communications, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Spatio-temporal patterns of tuberculosis revealed by routineThe Lancet regional health. Western Pacific · 2026
    Article
  4. Host-Driven Genetic Diversity ofTransboundary and emerging diseases · 2026
    Article
  5. Transmission of bedaquiline-resistant Mycobacterium tuberculosis in KwaZulu-Natal, South Africa.American journal of respiratory and critical care medicine · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. First insights into the genetic composition ofJournal of clinical tuberculosis and other mycobacterial diseases · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Molecular epidemiology ofJournal of clinical tuberculosis and other mycobacterial diseases · 2024
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Large-scale Pan Genomic Analysis ofEvolutionary bioinformatics online · 2024
    Article

44 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Vegard EldholmDivision of Infectious Disease Control, Norwegian Institute of Public Health, Lovisenberggata 8, Oslo 0456, Norway.ORCID 0000000167213375
Johana MonteserinInstituto Nacional de Enfermedades Infecciosas-ANLIS Carlos Malbrán, Vélez Sarsfield 563, Buenos Aires 1281, Argentina.
Adrien RieuxDepartment of Genetics, Evolution and Environment, University College London, Darwin Building, Gower Street, London WC1E 6BT, UK.
Beatriz LopezInstituto Nacional de Enfermedades Infecciosas-ANLIS Carlos Malbrán, Vélez Sarsfield 563, Buenos Aires 1281, Argentina.
Benjamin SobkowiakDepartment of Genetics, Evolution and Environment, University College London, Darwin Building, Gower Street, London WC1E 6BT, UK.
Viviana RitaccoInstituto Nacional de Enfermedades Infecciosas-ANLIS Carlos Malbrán, Vélez Sarsfield 563, Buenos Aires 1281, Argentina.
Francois BallouxDepartment of Genetics, Evolution and Environment, University College London, Darwin Building, Gower Street, London WC1E 6BT, UK.

Funding

Department of Health
6 · The paper itself

Abstract

The rise of drug-resistant strains is a major challenge to containing the tuberculosis (TB) pandemic. Yet, little is known about the extent of resistance in early years of chemotherapy and when transmission of resistant strains on a larger scale became a major public health issue. Here we reconstruct the timeline of the acquisition of antimicrobial resistance during a major ongoing outbreak of multidrug-resistant TB in Argentina. We estimate that the progenitor of the outbreak strain acquired resistance to isoniazid, streptomycin and rifampicin by around 1973, indicating continuous circulation of a multidrug-resistant TB strain for four decades. By around 1979 the strain had acquired additional resistance to three more drugs. Our results indicate that Mycobacterium tuberculosis (Mtb) with extensive resistance profiles circulated 15 years before the outbreak was detected, and about one decade before the earliest documented transmission of Mtb strains with such extensive resistance profiles globally.

Indexed as

Antitubercular AgentsArgentinaBacterial ProteinsDisease OutbreaksGene Expression Regulation, BacterialHumansMicrobial Sensitivity TestsMycobacterium tuberculosisPhylogenyPolymorphism, Single NucleotidePromoter Regions, GeneticTime FactorsTuberculosis, Multidrug-ResistantAntitubercular AgentsBacterial Proteins

Identifiers

PMID25960343
PMCPMC4432642

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.