Evidence map›Paper›PMID 27167381›Full record

ArticlePloS one2016

Use of Lot Quality Assurance Sampling to Ascertain Levels of Drug Resistant Tuberculosis in Western Kenya.

Julia Jezmir, Ted Cohen, Matteo Zignol, Edwin Nyakan, Bethany L Hedt-Gauthier, Adrian Gardner, Lydia Kamle, Wilfred Injera, E Jane Carter

Abstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

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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

9 authors.

Julia JezmirStanford Medical School, Stanford, California, United States of Amercia.ORCID 0000-0003-2153-6464
Ted CohenDepartment of Epidemiology of Microbial Disease, Yale School of Public Health, New Haven, Connecticut, United States of America.
Matteo ZignolGlobal TB Programme, TB Monitoring and Evaluation, World Health Organization, Geneva, Switzerland.
Edwin NyakanAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Bethany L Hedt-GauthierDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, United States of America.
Adrian GardnerAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Lydia KamleAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Wilfred InjeraAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
E Jane CarterAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.

Funding

Understanding and controlling antibiotic resistanceU54GM088558 · NIGMS · HARVARD SCHOOL OF PUBLIC HEALTH · PI HANAGE, WILLIAM · 2009 to 2018
$26.4M
NIGMS NIH HHS U54 GM088558World Health Organization 001
6 · The paper itself

Abstract

objectiveTo classify the prevalence of multi-drug resistant tuberculosis (MDR-TB) in two different geographic settings in western Kenya using the Lot Quality Assurance Sampling (LQAS) methodology.

designThe prevalence of drug resistance was classified among treatment-naïve smear positive TB patients in two settings, one rural and one urban. These regions were classified as having high or low prevalence of MDR-TB according to a static, two-way LQAS sampling plan selected to classify high resistance regions at greater than 5% resistance and low resistance regions at less than 1% resistance.

resultsThis study classified both the urban and rural settings as having low levels of TB drug resistance. Out of the 105 patients screened in each setting, two patients were diagnosed with MDR-TB in the urban setting and one patient was diagnosed with MDR-TB in the rural setting. An additional 27 patients were diagnosed with a variety of mono- and poly- resistant strains.

conclusionFurther drug resistance surveillance using LQAS may help identify the levels and geographical distribution of drug resistance in Kenya and may have applications in other countries in the African Region facing similar resource constraints.

Indexed as

Drug Resistance, Multiple, BacterialAdolescentAdultAntitubercular AgentsFemaleHumansIsoniazidKenyaLot Quality Assurance SamplingMaleMiddle AgedMycobacterium tuberculosisPrevalenceRifampinRural PopulationTuberculosis, Multidrug-ResistantAntitubercular AgentsIsoniazidRifampin

Identifiers

PMID27167381
PMCPMC4864281

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Registered trials

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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.