Evidence map›Paper›PMID 27499239›Full record

ArticlePathogens and global health

The diagnostic utility of line probe assays for multidrug-resistant tuberculosis.

Marilyn M Ninan, Mahasampath Gowri, D J Christopher, Priscilla Rupali, Joy S Michael

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In one paragraph

Article in Pathogens and global health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 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

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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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

5 authors.

Marilyn M Ninana Department of Microbiology , Christian Medical College and Hospital , Vellore , India.
Mahasampath Gowrib Department of Biostatistics , Christian Medical College and Hospital , Vellore , India.
D J Christopherc Department of Pulmonary Medicine , Christian Medical College and Hospital , Vellore , India.
Priscilla Rupalid Department of Infectious Diseases , Christian Medical College and Hospital , Vellore , India.
Joy S Michaela Department of Microbiology , Christian Medical College and Hospital , Vellore , India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Owing to the burden of multidrug-resistant tuberculosis, molecular techniques have been approved by the WHO for the rapid diagnosis of the same. The objectives of this prospective, diagnostic study, conducted at Christian Medical College, a tertiary care center in South India, were to compare the performance of line probe assay (GenoTypeMTBDRplus) with culture, as well as the Xpert MTB/Rif assay on sputum samples. Ninety-one consecutive suspects of multidrug-resistant pulmonary tuberculosis patients from January 2013 to June 2013 were enrolled in this study and the results of line probe assay compared to culture and Xpert MTB/Rif. Compared to culture, the assay demonstrated a sensitivity and specificity of 81.5% (95%CI 67.4-91.1%) and 87.5% (95%CI 71-96.5%) for the detection of tuberculosis, with sensitivity and specificity of 100% (95%CI 85.2-100%) and 93.8% (95%CI 69.8-99.8%), respectively, for rifampicin resistance. For isoniazid resistance, sensitivity and specificity were 89.3% (95%CI 71.8-97.7%) and 100% (95%CI 71.5-100%), respectively. Compared to Xpert MTB/Rif assay, the assay showed a sensitivity of 80% (95%CI 68.2-88.9%) and specificity of 100% (95%CI 85.8-100%) for the detection of tuberculosis a sensitivity of 94.3% (95%CI 80.8-99.3%) and specificity of 94.1% (95%CI 71.3-99.9%) for rifampicin resistance was attained. This assay performed well on smear positive samples, but poorly on smear negative and scanty samples, and can serve as a rapid diagnostic tool, particularly in isoniazid monoresistant cases of tuberculosis, which are not diagnosed by Xpert MTB/Rif.

Indexed as

AdultDNA ProbesDrug Resistance, BacterialFemaleHumansIndiaMaleMycobacterium tuberculosisNucleic Acid Amplification TechniquesProspective StudiesReproducibility of ResultsRifampinSensitivity and SpecificitySputumTertiary Care CentersTuberculosis, Multidrug-ResistantDNA ProbesRifampinDiagnosticsDrug resistanceTuberculosis

Identifiers

PMID27499239
PMCPMC5072114

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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.