Evidence map›Paper›PMID 31048508›Full record

ArticleThorax2019

Extensive global movement of multidrug-resistant

Keira A Cohen, Abigail L Manson, Thomas Abeel, Christopher A Desjardins, Sinead B Chapman, Sven Hoffner, Bruce W Birren, Ashlee M Earl

Abstract read
In one paragraph

Article in Thorax, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Review
  2. Whole-Genome Sequence-Based Diversity ofPathogens (Basel, Switzerland) · 2025
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Genomic epidemiological analysis identifies high relapse among individuals with recurring tuberculosis and provides evidence of recent household-related transmission of tuberculosis in Ghana.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
    Article
  10. Article
  11. Article
  12. Evolution of Drug-ResistantFrontiers in microbiology · 2021
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Keira A CohenDivision of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Abigail L MansonBroad Institute of Harvard and M.I.T, Cambridge, Massachusetts, USA.
Thomas AbeelBroad Institute of Harvard and M.I.T, Cambridge, Massachusetts, USA.
Christopher A DesjardinsBroad Institute of Harvard and M.I.T, Cambridge, Massachusetts, USA.
Sinead B ChapmanBroad Institute of Harvard and M.I.T, Cambridge, Massachusetts, USA.
Sven HoffnerDepartment of Public Health Sciences, Karolinska Institute, Stockholm, Sweden.
Bruce W BirrenBroad Institute of Harvard and M.I.T, Cambridge, Massachusetts, USA.
Ashlee M EarlBroad Institute of Harvard and M.I.T, Cambridge, Massachusetts, USA aearl@broadinstitute.org.

Funding

Viral Genomics: evolution, spread, and host interactionsU19AI110818 · NIAID · BROAD INSTITUTE, INC. · PI CUOMO, CHRISTINA A · 2014 to 2024
$66.5M
RESPIRATORY RESEARCHT32HL007633 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI George R Washko · 1985 to 2026
$14.9M
Improved Tools for Nontuberculous Mycobacteria Lung DiseaseK08HL139994 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COHEN, KEIRA ALEXIS · 2018 to 2022
$794k
NHLBI NIH HHS K08 HL139994NHLBI NIH HHS T32 HL007633NIAID NIH HHS HHSN272200900018CNIAID NIH HHS U19 AI110818
6 · The paper itself

Abstract

backgroundWhile the international spread of multidrug-resistant (MDR)

methodsIn a global dataset of 5310

resultsExtensive international dissemination of MDR-TB was observed, with identification of 32 migrant MDR-TB clades with descendants isolated in 17 unique countries. Relatively recent movement of strains from both Beijing and non-Beijing lineages indicated successful global spread of varied genetic backgrounds. Migrant MDR-TB clade members shared relatively recent common ancestry, with a median estimate of divergence of 13-27 years. Migrant extensively drug-resistant (XDR)-TB clades were not observed, although development of XDR-TB within migratory MDR-TB clades was common.

conclusionsApplication of genomic techniques to investigate global MDR migration patterns revealed extensive global spread of MDR clades between countries of varying TB burden. Further expansion of genomic studies to incorporate isolates from diverse global settings into a single analysis, as well as data sharing platforms that facilitate genomic data sharing across country lines, may allow for future epidemiological analyses to monitor for international transmission of MDR-TB. In addition, efforts to perform routine whole-genome sequencing on all newly identified

Indexed as

Global HealthWhole Genome SequencingHumansMolecular EpidemiologyMycobacterium tuberculosisPhylogenyTuberculosis, Multidrug-Resistantclinical epidemiologytuberculosis

Identifiers

PMID31048508
PMCPMC6788793

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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.