Evidence map›Paper›PMID 30914081›Full record

Observational studyEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2019

Isoniazid (INH) mono-resistance and tuberculosis (TB) treatment success: analysis of European surveillance data, 2002 to 2014.

Basel Karo, Anke Kohlenberg, Vahur Hollo, Raquel Duarte, Lena Fiebig, Sarah Jackson, Cathriona Kearns, Csaba Ködmön, Maria Korzeniewska-Kosela, Dimitrios Papaventsis and 3 more

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  8. Drug resistance profiles ofJAC-antimicrobial resistance · 2024
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  18. Use of a FluoroTypeDiagnostics (Basel, Switzerland) · 2022
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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

13 authors at 7 institutions in 10 countries.

Basel KaroEPIET: European Programme of Intervention Epidemiology Training, European Centre for Disease Prevention and Control, Stockholm, Sweden.
Anke KohlenbergThese authors contributed equally to this article and share first authorship.
Vahur HolloEuropean Centre for Disease Prevention and Control, Stockholm, Sweden.
Raquel DuarteDirectorate General of Health, Lisbon, Portugal.
Lena FiebigInfectious Disease Department, Robert Koch Institute, Berlin, Germany.
Sarah JacksonHealth Protection Surveillance Centre, Dublin, Ireland.
Cathriona KearnsPublic Health Agency, Belfast, Northern Ireland.
Csaba KödmönEuropean Centre for Disease Prevention and Control, Stockholm, Sweden.
Maria Korzeniewska-KoselaNational Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland.
Dimitrios PapaventsisNational Reference Laboratory for Mycobacteria, 'Sotiria' Chest Diseases Hospital, Athens, Greece.
Ivan SolovicNational Institute for TB, Lung Diseases and Thoracic Surgery, Vysne Hagy, Catholic University Ruzomberok, Ruzomberok, Slovakia.
Dick van SoolingenTuberculosis Reference Laboratory, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Marieke J van der WerfEuropean Centre for Disease Prevention and Control, Stockholm, Sweden.
European Centre for Disease Prevention and Control · SERobert Koch Institute · DECatholic University in Ruzomberok · SKChest Diseases Hospital · KWDireção Geral do Território · PTHealth Protection Surveillance Centre · IENational Institute for Public Health and the Environment · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIsoniazid (INH) is an essential drug for tuberculosis (TB) treatment. Resistance to INH may increase the likelihood of negative treatment outcome.

aimWe aimed to determine the impact of INH mono-resistance on TB treatment outcome in the European Union/European Economic Area and to identify risk factors for unsuccessful outcome in cases with INH mono-resistant TB.

methodsIn this observational study, we retrospectively analysed TB cases that were diagnosed in 2002-14 and included in the European Surveillance System (TESSy). Multilevel logistic regression models were applied to identify risk factors and correct for clustering of cases within countries.

resultsA total of 187,370 susceptible and 7,578 INH mono-resistant TB cases from 24 countries were included in the outcome analysis. Treatment was successful in 74.0% of INH mono-resistant and 77.4% of susceptible TB cases. In the final model, treatment success was lower among INH mono-resistant cases (Odds ratio (OR): 0.7; 95% confidence interval (CI): 0.6-0.9; adjusted absolute difference in treatment success: 5.3%). Among INH mono-resistant TB cases, unsuccessful treatment outcome was associated with age above median (OR: 1.3; 95% CI: 1.2-1.5), male sex (OR: 1.3; 95% CI: 1.1-1.4), positive smear microscopy (OR: 1.3; 95% CI: 1.1-1.4), positive HIV status (OR: 3.3; 95% CI: 1.6-6.5) and a prior TB history (OR: 1.8; 95% CI: 1.5-2.2).

conclusionsThis study provides evidence for an association between INH mono-resistance and a lower likelihood of TB treatment success. Increased attention should be paid to timely detection and management of INH mono-resistant TB.

Indexed as

AdultAntitubercular AgentsDrug Resistance, BacterialEuropeFemaleHumansIsoniazidMaleMiddle AgedMycobacterium tuberculosisRetrospective StudiesRisk FactorsTreatment OutcomeTuberculosisAntitubercular AgentsIsoniazidanti-tuberculous treatmentepidemiologyisoniazid mono-resistancesurveillanceTBtuberculosis

Identifiers

PMID30914081
PMCPMC6440580
OpenAlexW2923756361

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.