Evidence map›Paper›PMID 27530852›Full record

ArticleJournal of global antimicrobial resistance2016

Whole-genome sequencing of multidrug-resistant Mycobacterium tuberculosis isolates from Myanmar.

Htin Lin Aung, Thanda Tun, Danesh Moradigaravand, Claudio U Köser, Wint Wint Nyunt, Si Thu Aung, Thandar Lwin, Kyi Kyi Thinn, John A Crump, Julian Parkhill and 3 more

Abstract read
In one paragraph

Article in Journal of global antimicrobial resistance, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. A cloaked glutamate decarboxylase sustains the GABA shunt inProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  2. Genomic epidemiology of theFrontiers in microbiology · 2026
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  3. Genomic Sequencing Profiles ofTropical medicine and infectious disease · 2023
    Article
  4. Distribution and origins ofMicrobial genomics · 2023
    Article
  5. Article
  6. Distribution ofTropical medicine and infectious disease · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Dispersal ofFrontiers in microbiology · 2019
    Article
  11. Article
  12. Characterization of the most commonInfection and drug resistance · 2019
    Article
  13. 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

13 authors.

Htin Lin AungDepartment of Microbiology and Immunology, Otago School of Medical Sciences, University of Otago, Dunedin, New Zealand; Maurice Wilkins Centre for Molecular Biodiscovery, University of Auckland, Auckland, New Zealand. Electronic address: htin.aung@otago.ac.nz.
Thanda TunNational Health Laboratory, Ministry of Health, Yangon, Myanmar.
Danesh MoradigaravandDepartment of Medicine, University of Cambridge, Cambridge, UK.
Claudio U KöserDepartment of Medicine, University of Cambridge, Cambridge, UK.
Wint Wint NyuntNational TB Programme (NTP), Ministry of Health, Naypyidaw, Myanmar.
Si Thu AungNational TB Programme (NTP), Ministry of Health, Naypyidaw, Myanmar.
Thandar LwinNational TB Programme (NTP), Ministry of Health, Naypyidaw, Myanmar.
Kyi Kyi ThinnDepartment of Microbiology, University of Medicine 1, Yangon, Myanmar.
John A CrumpCentre for International Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
Julian ParkhillWellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK.
Sharon J PeacockDepartment of Medicine, University of Cambridge, Cambridge, UK; Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK; London School of Hygiene and Tropical Medicine, London, UK.
Gregory M CookDepartment of Microbiology and Immunology, Otago School of Medical Sciences, University of Otago, Dunedin, New Zealand; Maurice Wilkins Centre for Molecular Biodiscovery, University of Auckland, Auckland, New Zealand.
Philip C HillCentre for International Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.

Funding

Department of Health [UK]Wellcome Trust 098600
6 · The paper itself

Abstract

Drug-resistant tuberculosis (TB) is a major health threat in Myanmar. An initial study was conducted to explore the potential utility of whole-genome sequencing (WGS) for the diagnosis and management of drug-resistant TB in Myanmar. Fourteen multidrug-resistant Mycobacterium tuberculosis isolates were sequenced. Known resistance genes for a total of nine antibiotics commonly used in the treatment of drug-susceptible and multidrug-resistant TB (MDR-TB) in Myanmar were interrogated through WGS. All 14 isolates were MDR-TB, consistent with the results of phenotypic drug susceptibility testing (DST), and the Beijing lineage predominated. Based on the results of WGS, 9 of the 14 isolates were potentially resistant to at least one of the drugs used in the standard MDR-TB regimen but for which phenotypic DST is not conducted in Myanmar. This study highlights a need for the introduction of second-line DST as part of routine TB diagnosis in Myanmar as well as new classes of TB drugs to construct effective regimens.

Indexed as

Genome, BacterialAntitubercular AgentsDrug Resistance, Multiple, BacterialHumansMicrobial Sensitivity TestsMutationMyanmarMycobacterium tuberculosisTuberculosis, Multidrug-ResistantAntitubercular AgentsDrug-resistant TBMyanmarWhole-genome sequencing

Identifiers

PMID27530852
PMCPMC5010037

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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.