Evidence map›Paper›PMID 30554996›Full record

ReviewThe Lancet. Infectious diseases2019

Transmission of drug-resistant tuberculosis in HIV-endemic settings.

Palwasha Y Khan, Tom A Yates, Muhammad Osman, Robin M Warren, Yuri van der Heijden, Nesri Padayatchi, Edward A Nardell, David Moore, Barun Mathema, Neel Gandhi and 6 more

Erratum issuedAbstract readReview
In one paragraph

Review in The Lancet. Infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
3.9field-weighted citation impact, top 5% 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

48 citing papers in PubMed, 3 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
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  12. Molecular Epidemiology ofMicroorganisms · 2025
    Review
  13. Article
  14. Recognising cutaneous tuberculosis.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 14 institutions in 5 countries.

Palwasha Y KhanDepartment of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK; TB Centre, London School of Hygiene & Tropical Medicine, London, UK; Interactive Research and Development, Karachi, Pakistan.
Tom A YatesInstitute for Global Health, University College London, London, UK; Institute of Child Health, University College London, London, UK.
Muhammad OsmanDesmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa.
Robin M WarrenDepartment of Science and Technology/National Research Foundation Centre of Excellence in Biomedical Tuberculosis Research, Division of Molecular Biology and Human Genetics, Department of Biomedical Sciences, Faculty of Health Sciences, Stellenbosch University, Cape Town, South Africa.
Yuri van der HeijdenVanderbilt Tuberculosis Center and Division of Infectious Diseases, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA.
Nesri PadayatchiSouth African Medical Research Council HIV-TB Pathogenesis and Treatment Research Unit, Centre for the AIDS Programme of Research in South Africa, Durban, South Africa.
Edward A NardellDivision of Global Health Equity, Brigham and Women's Hospital, Boston, MA, USA.
David MooreDepartment of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK; TB Centre, London School of Hygiene & Tropical Medicine, London, UK.
Barun MathemaDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
Neel GandhiRollins School of Public Health and Emory School of Medicine, Emory University, Atlanta, GA, USA.
Vegard EldholmDivision of Infectious Disease Control, Norwegian Institute of Public Health, Oslo, Norway.
Keertan DhedaLung Infection and Immunity Unit, Division of Pulmonology and University of Cape Town Lung Institute, Department of Medicine, University of Cape Town, Cape Town, South Africa.
Anneke C HesselingDesmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Valerie MizrahiDepartment of Science and Technology/National Research Foundation Centre of Excellence in Biomedical Tuberculosis Research, Department of Pathology, Institute of Infectious Disease and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Roxana RustomjeeDivision of AIDS, National Institutes of Health, Bethesda, MD, USA.
Alexander PymDepartment of Infection and Immunity, University College London, London, UK; Africa Health Research Institute, School of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, KwaZulu-Natal, South Africa. Electronic address: alexanderpym@hotmail.com.
Desmond Tutu HIV Foundation · ZANational Research Foundation · ZAAfrica Health Research Institute · ZABrigham and Women's Hospital · USCentre for the AIDS Programme of Research in South Africa · ZAColumbia University · USEmory University · USInteractive Research and Development · PKLondon School of Hygiene & Tropical Medicine · GBNational Institutes of Health · USNorwegian Institute of Public Health · NOUniversity College London · GBUniversity of Cape Town · ZAVanderbilt University · US

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
TRAINING IN THE PATHOGENESIS OF INFECTIOUS DISEASEST32AI007517 · NIAID · YALE UNIVERSITY · PI Jaimie Meyer, Albert C Shaw · 1997 to 2026
$6.1M
Global Health Fellows and Scholars Research TrainingR25TW009338 · FIC · UNIVERSITY OF CALIFORNIA BERKELEY · PI BARRY, MICHELE, KO, ALBERT ICKSANG · 2012 to 2016
$5.2M
The Role of Casual Contact and Migration in XDR TB Transmission in South Africa: a Geospatial, Genomic and Social Network StudyR01AI138646 · NIAID · EMORY UNIVERSITY · PI NAIDOO, KOGIELEUM, SHAH, NIPPIE SARITA · 2018 to 2022
$3.8M
Transmission of HIV-Associated XDR TB in Rural South AfricaR01AI089349 · NIAID · EMORY UNIVERSITY · PI GANDHI, NEEL RAJNIKANT · 2010 to 2014
$3.7M
Evaluating health and economic effects of targeted strategies in TB/HIVR01AI112438 · NIAID · YALE UNIVERSITY · PI COHEN, THEODORE H, SALOMON, JOSHUA A · 2014 to 2017
$2.4M
Mentorship in Patient-Oriented Research in Tuberculosis, HIV and Global HealthK24AI114444 · NIAID · EMORY UNIVERSITY · PI GANDHI, NEEL RAJNIKANT · 2014 to 2023
$1.8M
Fluoroquinolone resistance in patients with multidrug-resistant tuberculosisK08AI106420 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI VAN DER HEIJDEN, YURI F. · 2014 to 2018
$848k
ADENOSINE ANALOGS AS CANCER CHEMOTHERAPEUTIC AGENTSR01CA007340 · NCI · BROWN UNIVERSITY · PI PARKS, ROBERT E · 1985 to 1992
–
FIC NIH HHS R25 TW009338Medical Research Council MR/M007340/1NIAID NIH HHS HHSN272201600001CNIAID NIH HHS HHSN272201600001GNIAID NIH HHS K08 AI106420NIAID NIH HHS K24 AI114444NIAID NIH HHS P30 AI050409NIAID NIH HHS R01 AI089349NIAID NIH HHS R01 AI112438NIAID NIH HHS R01 AI138646NIAID NIH HHS T32 AI007517
6 · The paper itself

Abstract

The emergence and expansion of the multidrug-resistant tuberculosis epidemic is a threat to the global control of tuberculosis. Multidrug-resistant tuberculosis is the result of the selection of resistance-conferring mutations during inadequate antituberculosis treatment. However, HIV has a profound effect on the natural history of tuberculosis, manifesting in an increased rate of disease progression, leading to increased transmission and amplification of multidrug-resistant tuberculosis. Interventions specific to HIV-endemic areas are urgently needed to block tuberculosis transmission. These interventions should include a combination of rapid molecular diagnostics and improved chemotherapy to shorten the duration of infectiousness, implementation of infection control measures, and active screening of multidrug-resistant tuberculosis contacts, with prophylactic regimens for individuals without evidence of disease. Development and improvement of the efficacy of interventions will require a greater understanding of the factors affecting the transmission of multidrug-resistant tuberculosis in HIV-endemic settings, including population-based molecular epidemiology studies. In this Series article, we review what we know about the transmission of multidrug-resistant tuberculosis in settings with high burdens of HIV and define the research priorities required to develop more effective interventions, to diminish ongoing transmission and the amplification of drug resistance.

Indexed as

Endemic DiseasesAdultAIDS-Related Opportunistic InfectionsAntitubercular AgentsChildChild, PreschoolCoinfectionDrug Resistance, Multiple, BacterialHIVHumansIncidenceInfantInfant, NewbornMass ScreeningMutationMycobacterium tuberculosisAntitubercular Agents

Identifiers

PMID30554996
PMCPMC6474238
OpenAlexW2904327006

What OpenQuestion holds

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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.