Evidence map›Paper›PMID 31357057›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2019

Prevalence of drug-resistant tuberculosis in Zimbabwe: A health facility-based cross-sectional survey.

Collins Timire, John Z Metcalfe, Joconiah Chirenda, Jerod N Scholten, Barbara Manyame-Murwira, Mkhokheli Ngwenya, Ronnie Matambo, Kelvin Charambira, Herbert Mutunzi, Nico Kalisvaart and 1 more

Open access · goldAbstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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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 at 5 institutions in 4 countries.

Collins TimireInternational Union Against Tuberculosis and Lung Disease (The Union), Paris, France; Ministry of Health and Child Care, National TB Control Program, Harare, Zimbabwe.
John Z MetcalfeDivision of Pulmonary and Critical Care Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, CA, USA.
Joconiah ChirendaUniversity of Zimbabwe, College of Health Sciences, Harare, Zimbabwe.
Jerod N ScholtenKNCV Tuberculosis Foundation, The Hague, The Netherlands.
Barbara Manyame-MurwiraMinistry of Health and Child Care, National TB Control Program, Harare, Zimbabwe.
Mkhokheli NgwenyaWorld Health Organisation, Zimbabwe Country Office, Harare, Zimbabwe.
Ronnie MatamboThe Union, Harare, Zimbabwe.
Kelvin CharambiraThe Union, Harare, Zimbabwe.
Herbert MutunziMinistry of Health and Child Care, National TB Control Program, Harare, Zimbabwe.
Nico KalisvaartKNCV Tuberculosis Foundation, The Hague, The Netherlands.
Charles SandyMinistry of Health and Child Care, National TB Control Program, Harare, Zimbabwe. Electronic address: dr.c.sandy@gmail.com.
Ministry of Health and Child Welfare · ZWTuBerculosis Vaccine Initiative · NLSan Francisco General Hospital · USUniversity of Zimbabwe · ZWWorld Health Organization - Zimbabwe · ZW

Funding

Training for Research Excellence and MeNtorship in Tuberculosis (TRENT)D43TW009539 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI METCALFE, JOHN ZAPATA · 2013 to 2022
$2.9M
Improving Early Identification of Drug Resistant Tuberculosis in HIV Prevalent SeK23AI094251 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI METCALFE, JOHN ZAPATA · 2011 to 2015
$625k
FIC NIH HHS D43 TW009539NIAID NIH HHS K23 AI094251World Health Organization 001
6 · The paper itself

Abstract

objectiveTo determine the prevalence of resistance to rifampicin alone; rifampicin and isoniazid, and second-line anti-TB drugs among sputum smear-positive tuberculosis patients in Zimbabwe.

designA health facility-based cross-sectional survey.

resultsIn total, 1114 (87.6%) new and 158 (12.4%) retreatment TB patients were enrolled. MTB was confirmed by Xpert MTB/RIF among 1184 (93%) smear-positive sputum samples. There were 64 samples with Xpert MTB/RIF-determined rifampicin resistance. However, two were rifampicin susceptible on phenotypic drug susceptibility testing. The prevalence of RR-TB was [4.0% (95% CI, 2.9, 5.4%), n=42/1043) and 14.2% (95% CI, 8.9, 21.1%; n=20/141) among new and retreatment patients, respectively. The prevalence of MDR-TB was 2.0% (95% CI, 1.3, 3.1%) and 6.4% (95% CI, 2.4, 10.3%) among new and retreatment TB patients, respectively. Risk factors for RR-TB included prior TB treatment, self-reported HIV infection, travel outside Zimbabwe for ≥one month (univariate), and age <15 years. Having at least a secondary education was protective against RR-TB.

conclusionThe prevalence of MDR-TB in Zimbabwe has remained stable since the 1994 subnational survey. However, the prevalence of rifampicin mono-resistance was double that of MDR-TB.

Indexed as

AdolescentAdultAgedAnti-Bacterial AgentsChildCross-Sectional StudiesDrug Resistance, BacterialFemaleHealth FacilitiesHumansIsoniazidMaleMicrobial Sensitivity TestsMiddle AgedMycobacterium tuberculosisPrevalenceAnti-Bacterial AgentsIsoniazidRifampinDrug resistant TBGene XpertMDRPreviously treated TBRifampicin resistant TBZimbabwe

Identifiers

PMID31357057
PMCPMC9586843
OpenAlexW2966013441

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.