Evidence map›Paper›PMID 32085703›Full record

ArticleBMC genomics2020

Whole genome sequencing of Mycobacterium tuberculosis isolates and clinical outcomes of patients treated for multidrug-resistant tuberculosis in Tanzania.

Bugwesa Z Katale, Peter M Mbelele, Nsiande A Lema, Susana Campino, Stephen E Mshana, Mark M Rweyemamu, Jody E Phelan, Julius D Keyyu, Mtebe Majigo, Erasto V Mbugi and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC genomics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
0.9field-weighted citation impact, top 15% 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

30 citing papers in PubMed, 52 citations in OpenAlex.

  1. Molecular Characterization of theAntibiotics (Basel, Switzerland) · 2026
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  4. Genomic characterization of drug-resistantFrontiers in tuberculosis · 2026
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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

14 authors at 7 institutions in 2 countries.

Bugwesa Z KataleDepartment of Microbiology and Immunology, School of Medicine, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
Peter M MbeleleKibong'oto Infectious Disease Hospital (KIDH), Sanya Juu, Tanzania.
Nsiande A LemaField Epidemiology and Laboratory Training Programme, Dar es Salaam, Tanzania.
Susana CampinoFaculty of Infectious and Tropical Diseases, London School of Hygiene &Tropical Medicine (LSHTM), Keppel Street, London, WC1E 7HT, UK.
Stephen E MshanaDepartment of Medical Microbiology, Catholic University of Health and Allied Sciences, Mwanza, Tanzania.
Mark M RweyemamuSouthern African Centre for Infectious Diseases Surveillance (SACIDS), Sokoine University of Agriculture (SUA), Morogoro, Tanzania.
Jody E PhelanFaculty of Infectious and Tropical Diseases, London School of Hygiene &Tropical Medicine (LSHTM), Keppel Street, London, WC1E 7HT, UK.
Julius D KeyyuTanzania Wildlife Research Institute (TAWIRI), Arusha, Tanzania.
Mtebe MajigoDepartment of Microbiology and Immunology, School of Medicine, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
Erasto V MbugiDepartment of Biochemistry, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
Hazel M DockrellFaculty of Infectious and Tropical Diseases, London School of Hygiene &Tropical Medicine (LSHTM), Keppel Street, London, WC1E 7HT, UK.
Taane G ClarkFaculty of Infectious and Tropical Diseases, London School of Hygiene &Tropical Medicine (LSHTM), Keppel Street, London, WC1E 7HT, UK.
Mecky I MateeDepartment of Microbiology and Immunology, School of Medicine, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania. mateemecky@yahoo.com.ORCID http://orcid.org/0000-0002-6900-1533
Stellah MpagamaKibong'oto Infectious Disease Hospital (KIDH), Sanya Juu, Tanzania.
London School of Hygiene & Tropical Medicine · GBMuhimbili University of Health and Allied Sciences · TZTanzania Wildlife Research Institute · TZCatholic University of Health and Allied Sciences · TZNelson Mandela African Institution of Science and Technology · TZSouthern African Centre for Infectious Disease Surveillance · TZUniversity of London · GB

Funding

Medical Research Council MR/M01360X/1Medical Research Council MR/N010469/1Medical Research Council MR/R020973/1Wellcome TrustWellcome Trust WT087546MA
6 · The paper itself

Abstract

backgroundTuberculosis (TB), particularly multi- and or extensive drug resistant TB, is still a global medical emergency. Whole genome sequencing (WGS) is a current alternative to the WHO-approved probe-based methods for TB diagnosis and detection of drug resistance, genetic diversity and transmission dynamics of Mycobacterium tuberculosis complex (MTBC). This study compared WGS and clinical data in participants with TB.

resultsThis cohort study performed WGS on 87 from MTBC DNA isolates, 57 (66%) and 30 (34%) patients with drug resistant and susceptible TB, respectively. Drug resistance was determined by Xpert® MTB/RIF assay and phenotypic culture-based drug-susceptibility-testing (DST). WGS and bioinformatics data that predict phenotypic resistance to anti-TB drugs were compared with participant's clinical outcomes. They were 47 female participants (54%) and the median age was 35 years (IQR): 29-44). Twenty (23%) and 26 (30%) of participants had TB/HIV co-infection BMI < 18 kg/m

conclusionThis study offers comparison of mutations detected by Xpert and WGS with phenotypic DST of M. tuberculosis isolates in Tanzania. The high concordance between the different methods and further insights provided by WGS such as PZA-DST, which is not routinely performed in most resource-limited-settings, provides an avenue for inclusion of WGS into diagnostic matrix of TB including drug-resistant TB.

Indexed as

MutationAdultAntitubercular AgentsCohort StudiesDrug Resistance, Multiple, BacterialFemaleHumansMaleMycobacterium tuberculosisTanzaniaTreatment OutcomeTuberculosis, Multidrug-ResistantWhole Genome SequencingAntitubercular AgentsMultidrug-resistant tuberculosisMycobacterium tuberculosisTime-to-culture-conversionTreatment-outcomesWhole genome sequence

Identifiers

PMID32085703
PMCPMC7035673
OpenAlexW3011241675

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.