Evidence map›Paper›PMID 27464737›Full record

ArticleBMC microbiology2016

Mycobacterium tuberculosis lineages and anti-tuberculosis drug resistance in reference hospitals across Viet Nam.

Van Anh Thi Nguyen, Anne-Laure Bañuls, Thanh Hoa Thi Tran, Kim Lien Thi Pham, Thai Son Nguyen, Hung Van Nguyen, Ngoc Lan Thi Nguyen, Nam Lien Thi Nguyen, Duc Anh Dang, Guy B Marks and 1 more

Abstract read
In one paragraph

Article in BMC microbiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Trial
  2. [Application Of Next Generation Sequencing To Diagnosis OfTap chi y hoc du phong = Journal of preventive medicine · 2024
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  3. [Determination Of Related Genetic Variations Resistance To Moxifloxacin FromTap chi y hoc du phong = Journal of preventive medicine · 2024
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  4. Distribution and origins ofMicrobial genomics · 2023
    Article
  5. Infection and drug resistance · 2023
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Lineage-Specific Proteomic Signatures in theFrontiers in microbiology · 2020
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. 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

11 authors.

Van Anh Thi NguyenDepartment of Bacteriology, National Institute of Hygiene Epidemiology, Hanoi, Vietnam. vananhtdt@gmail.com.
Anne-Laure BañulsDepartment of Bacteriology, National Institute of Hygiene Epidemiology, Hanoi, Vietnam.
Thanh Hoa Thi TranDepartment of Bacteriology, National Institute of Hygiene Epidemiology, Hanoi, Vietnam.
Kim Lien Thi PhamDepartment of Bacteriology, National Institute of Hygiene Epidemiology, Hanoi, Vietnam.
Thai Son NguyenDepartment of Microbiology, Hospital 103, Military Medical University, Hanoi, Vietnam.
Hung Van NguyenDepartment of Microbiology, National Lung Hospital, Hanoi, Vietnam.
Ngoc Lan Thi NguyenDepartment of Microbiology, Pham Ngoc Thach Hospital, Ho Chi Minh city, Vietnam.
Nam Lien Thi NguyenDepartment of Microbiology, Hue Central Hospital, Hue, Vietnam.
Duc Anh DangDepartment of Bacteriology, National Institute of Hygiene Epidemiology, Hanoi, Vietnam.
Guy B MarksWoolcock Institute of Medical Research, University of Sydney, Sydney, Australia.
Marc ChoisyMIVEGEC (IRD 224-CNRS 5290-Université de Montpellier), Centre IRD, Montpellier, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMycobacterium tuberculosis, the tuberculosis (TB) pathogen, despite a low level of genetic diversity, has revealed a high variety of biological and epidemiological characteristics linked to their lineages, such as transmissibility, fitness and propensity to acquire drug resistance. This has important implications for the epidemiology of TB. We conducted this first countrywide cross-sectional study to identify the prevalent M. tuberculosis lineages and to assess their epidemiological associations and their relation to drug resistance. The study was conducted among isolates acquired in reference hospitals across Vietnam. Isolates with drug susceptibility testing profiles were identified for their lineages by spoligotyping. Logistic regression was used to investigate the association of M. tuberculosis lineages with location, age and sex of the patients and drug resistance levels.

resultsResults showed that the most prevalent lineage was Beijing (55.4 %), followed by EAI (27.5 %), T (6.4 %), LAM (1.3 %), Haarlem (1 %) and Zero type (0.3 %). The proportion of Beijing isolates in the North (70.4 %) and the South (68 %) was higher than in the Centre (28 %) (OR = 1.7 [95 % CI: 1.4-2.0], p < 0.0001), whereas the proportion of EAI isolates in the North (7.1 %) and the South (17 %) was much lower compared with the Centre (59 %) (OR = 0.5 [95 % CI: 0.4-0.6], p < 0.0001). Overall, Beijing isolates were the most likely to be drug-resistant and EAI isolates were the least likely to be drug-resistant, except in the South of Vietnam where EAI is also highly drug-resistant. The proportion of Beijing isolates was significantly higher (p < 0.01), and the proportion of EAI isolates was significantly lower (p < 0.05) in younger patients. The proportion of drug-resistance was higher in isolates collected from male patients and from patients in the middle age groups.

conclusionsThe findings suggest ongoing replacement of EAI lineage, which is mainly more drug-susceptible with highly drug-resistant Beijing lineage in all studied regions of Vietnam. Male patients of working ages should be the focus for better control to prevent the emergence of drug-resistant TB.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsAntitubercular AgentsChildChild, PreschoolCross-Sectional StudiesDNA, BacterialFemaleGenetic VariationGenotypeHospitalsHumansInfantAntitubercular AgentsDNA, BacterialDrug resistanceLineageMycobacterium tuberculosisReference hospitalTuberculosisVietnam

Identifiers

PMID27464737
PMCPMC4964266

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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.