Evidence map›Paper›PMID 29052602›Full record

ArticleEye (London, England)2018

MTBDRplus for the rapid diagnosis of ocular tuberculosis and screening of drug resistance.

K Sharma, A Gupta, M Sharma, A Sharma, R Singh, K Aggarwal, R Bansal, A Thakur, S Prakash, V Gupta

Open access · bronzeAbstract read
In one paragraph

Article in Eye (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. A Saudi Arabian Public Health Perspective of Tuberculosis.International journal of environmental research and public health · 2021
    Review
  3. Review
  4. Transcriptional Profile ofFrontiers in cellular and infection microbiology · 2018
    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

10 authors at 1 institution in 1 country.

K SharmaDepartment of Medical Microbiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
A GuptaDepartment of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
M SharmaDepartment of Medical Microbiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
A SharmaDepartment of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
R SinghDepartment of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
K AggarwalDepartment of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
R BansalDepartment of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
A ThakurDepartment of Medical Microbiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
S PrakashDepartment of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
V GuptaDepartment of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Post Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PurposeTimely diagnosis of intraocular tuberculosis (IOTB) along with detection of drug resistance can save many eyes from visual impairment. With the growing incidence of IOTB and rising drug resistance, a reliable diagnostic platform for simultaneous detection of the agent and mutated gene is urgently needed. The MTBDRplus assay was evaluated directly on vitreous fluid samples for the same.Patients and methodsIn a prospective study, The MTBDRplus assay was performed on 127 vitreous fluid samples (77 'study group' comprising cases of presumed ocular tuberculosis and 50 'control group' cases of disease controls (n=25) and non-uveitic controls (n=25)). All samples positive by MTBDRplus assay were subjected to gene sequencing to confirm the mutations for rifampicin and isoniazid resistance.ResultsThe MTBDRplus assay produced a sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of 36.36%, 100%, 100%, and 50.50%, respectively, for the detection of IOTB. Among the 28 cases from study group that were positive by MTBDRplus assay, rifampicin resistance was reported in six and isoniazid resistance in two cases. On sequencing of rpoB and katG gene, one case of false rifampicin-resistant by MTBDRplus was found. The other resistant isolates showed concordant mutations between MTBDRplus assay and sequencing.ConclusionThe MTBDRplus assay is an effective tool for the rapid diagnosis of IOTB along with detection of drug resistance, thereby improving the outcome in IOTB.

Indexed as

Drug Resistance, Multiple, BacterialAdultAntitubercular AgentsFemaleHumansMaleMass ScreeningMicrobial Sensitivity TestsMolecular Diagnostic TechniquesMycobacterium tuberculosisPredictive Value of TestsProspective StudiesSensitivity and SpecificityTuberculosis, OcularVitreous BodyAntitubercular Agents

Identifiers

PMID29052602
PMCPMC5811728
OpenAlexW2767057537

What OpenQuestion holds

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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.