Evidence map›Paper›PMID 29540458›Full record

ArticleJournal of clinical microbiology2018

Universal Genotyping for Tuberculosis Prevention Programs: a 5-Year Comparison with On-Request Genotyping.

Jennifer L Guthrie, Clare Kong, David Roth, Danielle Jorgensen, Mabel Rodrigues, Patrick Tang, Maichael Thejoe, Kevin Elwood, Victoria J Cook, James Johnston and 1 more

Abstract readComparative Study
In one paragraph

Article in Journal of clinical microbiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Role of casual contact in drug-resistant tuberculosis transmission: a molecular epidemiology study.American journal of respiratory and critical care medicine · 2026
    Article
  2. Genetic Diversity and Molecular Epidemiology ofPathogens (Basel, Switzerland) · 2026
    Article
  3. Article
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  5. Review
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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

11 authors.

Jennifer L GuthrieSchool of Population and Public Health, University of British Columbia, Vancouver, Canada jennifer.guthrie@alumni.ubc.ca jennifer.gardy@bccdc.ca.ORCID 0000-0001-8565-203X
Clare KongBritish Columbia Centre for Disease Control Public Health Laboratory, Vancouver, Canada.
David RothBritish Columbia Centre for Disease Control, Vancouver, Canada.
Danielle JorgensenBritish Columbia Centre for Disease Control Public Health Laboratory, Vancouver, Canada.
Mabel RodriguesBritish Columbia Centre for Disease Control Public Health Laboratory, Vancouver, Canada.
Patrick TangBritish Columbia Centre for Disease Control Public Health Laboratory, Vancouver, Canada.
Maichael ThejoeSchool of Population and Public Health, University of British Columbia, Vancouver, Canada.
Kevin ElwoodBritish Columbia Centre for Disease Control, Vancouver, Canada.
Victoria J CookBritish Columbia Centre for Disease Control, Vancouver, Canada.
James JohnstonBritish Columbia Centre for Disease Control, Vancouver, Canada.
Jennifer L GardySchool of Population and Public Health, University of British Columbia, Vancouver, Canada jennifer.guthrie@alumni.ubc.ca jennifer.gardy@bccdc.ca.ORCID 0000-0001-7255-7631

Funding

CIHR
6 · The paper itself

Abstract

Prospective universal genotyping of tuberculosis (TB) isolates is used by many laboratories to detect clusters of cases and inform contact investigations. Prior to universal genotyping, most TB prevention programs genotyped isolates on request only, relying on requests from public health professionals whose knowledge of a patient's clinical, demographic, and epidemiological characteristics suggested potential transmission. To justify the switch from on-request to universal genotyping-particularly in the public health domain, with its limited resources and competing priorities-it is important to demonstrate the additional benefit provided by a universal genotyping program. We compared the clustering patterns revealed by retrospective 24-locus mycobacterial interspersed repetitive unit-variable-number tandem repeat genotyping of all culture-positive isolates over a 5-year period to the patterns previously established by our genotyping-on-request program in the low-incidence setting of British Columbia, Canada. We found that 23.8% of isolates were requested during the study period, and while requested isolates had increased odds of belonging to a genotype cluster (adjusted odds ratio, 2.3; 95% confidence interval, 1.5 to 3.3), only 54.6% clustered with the requested comparator strain. Universal genotyping revealed 94 clusters ranging in size from 2 to 53 isolates (mean = 5) and involving 432 individuals. On-request genotyping missed 54 (57.4%) of these clusters and 130 (30.1%) clustered individuals. Our results underscore that TB patient networks are complex, with unrecognized linkages between patients, and a prospective province-wide universal genotyping program provides an informative, bias-free tool to explore transmission to a degree not possible with on-request genotyping.

Indexed as

Bacterial Typing TechniquesBritish ColumbiaCluster AnalysisDNA, BacterialFemaleGenotypeHumansInterspersed Repetitive SequencesMaleMinisatellite RepeatsMolecular EpidemiologyMycobacterium tuberculosisProgram EvaluationProspective StudiesPublic HealthRetrospective StudiesDNA, BacterialMIRU-VNTR genotypingprogram assessmenttuberculosis

Identifiers

PMID29540458
PMCPMC5925716

What OpenQuestion holds

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LicenceCC BY
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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.