Evidence map›Paper›PMID 27268059›Full record

ReviewInfectious diseases of poverty2016

Negligible risk of inducing resistance in Mycobacterium tuberculosis with single-dose rifampicin as post-exposure prophylaxis for leprosy.

Liesbeth Mieras, Richard Anthony, Wim van Brakel, Martin W Bratschi, Jacques van den Broek, Emmanuelle Cambau, Arielle Cavaliero, Christa Kasang, Geethal Perera, Lee Reichman and 4 more

Open access · goldAbstract readReview
In one paragraph

Review in Infectious diseases of poverty, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.5field-weighted citation impact, top 12% of its field
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

24 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Observational
  6. Leprosy.Nature reviews. Disease primers · 2024
    Review
  7. Article
  8. Review
  9. Review
  10. Qua vadis leprosy?The Indian journal of medical research · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. A comprehensive research agenda for zero leprosy.Infectious diseases of poverty · 2020
    Article
  17. Review
  18. Review
  19. Article
  20. Article
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

14 authors at 9 institutions in 5 countries.

Liesbeth MierasNetherlands Leprosy Relief, P.O. Box 95005, 1090 HA, Amsterdam, The Netherlands. L.Mieras@Leprastichting.nl.
Richard AnthonyRoyal Tropical Institute (KIT), Amsterdam, The Netherlands.
Wim van BrakelNetherlands Leprosy Relief, P.O. Box 95005, 1090 HA, Amsterdam, The Netherlands.
Martin W BratschiSwiss Tropical and Public Health Institute, Basel, Switzerland.
Jacques van den BroekIndependent TB and Leprosy Consultant, Helmond, The Netherlands.
Emmanuelle CambauFrench National Reference Center for Mycobacteria, Paris, France.
Arielle CavalieroNovartis Foundation, Basel, Switzerland.
Christa KasangThe German Leprosy and Tuberculosis Relief Association, Würzburg, Germany.
Geethal PereraMinistry of Health, Colombo, Sri Lanka.
Lee ReichmanNew Jersey Medical School Global Tuberculosis Institute, New Jersey, USA.
Jan Hendrik RichardusErasmus MC, Rotterdam, The Netherlands.
Paul SaundersonAmerican Leprosy Missions, Greenville, USA.
Peter SteinmannSwiss Tropical and Public Health Institute, Basel, Switzerland.
Wing Wai YewChinese University of Hong Kong, Hong Kong, China.
Netherlands Leprosy Relief · NLSwiss Tropical and Public Health Institute · CHAmerican Leprosy Missions · USChinese University of Hong Kong · CNErasmus University Rotterdam · NLMinistry of Health, Nutrition and Indigenous Medicine · LKNovartis Foundation · CHRoyal Tropical Institute · NLRutgers New Jersey Medical School

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-exposure prophylaxis (PEP) for leprosy is administered as one single dose of rifampicin (SDR) to the contacts of newly diagnosed leprosy patients. SDR reduces the risk of developing leprosy among contacts by around 60 % in the first 2-3 years after receiving SDR. In countries where SDR is currently being implemented under routine programme conditions in defined areas, questions were raised by health authorities and professional bodies about the possible risk of inducing rifampicin resistance among the M. tuberculosis strains circulating in these areas. This issue has not been addressed in scientific literature to date. To produce an authoritative consensus statement about the risk that SDR would induce rifampicin-resistant tuberculosis, a meeting was convened with tuberculosis (TB) and leprosy experts. The experts carefully reviewed and discussed the available evidence regarding the mechanisms and risk factors for the development of (multi) drug-resistance in M. tuberculosis with a view to the special situation of the use of SDR as PEP for leprosy. They concluded that SDR given to contacts of leprosy patients, in the absence of symptoms of active TB, poses a negligible risk of generating resistance in M. tuberculosis in individuals and at the population level. Thus, the benefits of SDR prophylaxis in reducing the risk of developing leprosy in contacts of new leprosy patients far outweigh the risks of generating drug resistance in M. tuberculosis.

Indexed as

Drug Resistance, BacterialPost-Exposure ProphylaxisHumansLeprostatic AgentsLeprosyMycobacterium tuberculosisRifampinRiskTuberculosis, Multidrug-ResistantLeprostatic AgentsRifampinLeprosyMycobacterium tuberculosisPost-exposure prophylaxisRifampicin resistance

Identifiers

PMID27268059
PMCPMC4897814
OpenAlexW2345511610

What OpenQuestion holds

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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.