Evidence map›Paper›PMID 27393547›Full record

ArticleThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2016

Comparison of TaqMan(®) Array Card and MYCOTB(TM) with conventional phenotypic susceptibility testing in MDR-TB.

S Foongladda, S Banu, S Pholwat, J Gratz, S O-Thong, N Nakkerd, R Chinli, S S Ferdous, S M M Rahman, A Rahman and 5 more

Open access · greenAbstract readComparative StudyEvaluation StudyMulticenter Study
In one paragraph

Article in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 citations in OpenAlex.

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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

15 authors at 5 institutions in 4 countries.

S FoongladdaDepartment of Microbiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
S BanuInternational Center for Diarrheal Diseases and Research, Dhaka, Bangladesh.
S PholwatDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
J GratzDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
S O-ThongDepartment of Microbiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
N NakkerdDepartment of Microbiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
R ChinliDepartment of Microbiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
S S FerdousInternational Center for Diarrheal Diseases and Research, Dhaka, Bangladesh.
S M M RahmanInternational Center for Diarrheal Diseases and Research, Dhaka, Bangladesh.
A RahmanInternational Center for Diarrheal Diseases and Research, Dhaka, Bangladesh.
S AhmedInternational Center for Diarrheal Diseases and Research, Dhaka, Bangladesh.
S HeysellDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
M SarikoKilimanjaro Clinical Research Institute, Moshi, Tanzania.
G KibikiKilimanjaro Clinical Research Institute, Moshi, Tanzania.
E HouptDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
International Centre for Diarrhoeal Disease Research · BDUniversity of Virginia · USSiriraj Hospital · THKilimanjaro Christian Medical Centre · TZMahidol University · TH

Funding

Tuberculosis Second Line Drug Susceptibility ChipR01AI093358 · NIAID · UNIVERSITY OF VIRGINIA · PI HOUPT, ERIC R · 2011 to 2015
$4.0M
Molecular Diagnostic Tools for Patient Oriented Field Studies in Infectious DiseasesK24AI102972 · NIAID · UNIVERSITY OF VIRGINIA · PI HOUPT, ERIC R · 2013 to 2022
$1.5M
Clinical Impact of Anti-TB Drug Levels and M. Tuberculosis SusceptibilityK23AI099019 · NIAID · UNIVERSITY OF VIRGINIA · PI HEYSELL, SCOTT K · 2012 to 2016
$649k
NIAID NIH HHS K23 AI099019NIAID NIH HHS K24 AI102972NIAID NIH HHS R01 AI093358
6 · The paper itself

Abstract

backgroundAlthough phenotypic drug susceptibility testing (DST) is endorsed as the standard for second-line drug testing of Mycobacterium tuberculosis, it is slow and laborious.

methodsWe evaluated the accuracy of two faster, easier methodologies that provide results for multiple drugs: a genotypic TaqMan(®) Array Card (TAC) and the Sensititre(®) MYCOTB(TM) plate. Both methods were tested at three central laboratories in Bangladesh, Tanzania, and Thailand with 212 multidrug-resistant tuberculosis (MDR-TB) isolates and compared with the laboratories' phenotypic method in use.

resultsThe overall accuracy for ethambutol, streptomycin, amikacin, kanamycin, ofloxacin, and moxifloxacin vs. the phenotypic standard was 87% for TAC (range 70-99) and 88% for the MYCOTB plate (range 76-98). To adjudicate discordances, we re-defined the standard as the consensus of the three methods, against which the TAC and MYCOTB plate yielded 94-95% accuracy, while the phenotypic result yielded 93%. Some isolates with genotypic mutations and high minimum inhibitory concentration (MIC) were phenotypically susceptible, and some isolates without mutations and low MIC were phenotypically resistant, questioning the phenotypic standard.

conclusionsIn our view, the TAC, the MYCOTB plate, and the conventional phenotypic method have similar performance for second-line drugs; however, the former methods offer speed, throughput, and quantitative DST information.

Indexed as

MutationOligonucleotide Array Sequence AnalysisReal-Time Polymerase Chain ReactionBangladeshDNA Mutational AnalysisGenotypeHigh-Throughput Screening AssaysHumansMicrobial Sensitivity TestsMycobacterium tuberculosisPhenotypePredictive Value of TestsReproducibility of ResultsTanzaniaThailandTime Factors

Identifiers

PMID27393547
PMCPMC4937751
OpenAlexW2473953681

What OpenQuestion holds

Textmetadata
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.