Evidence map›Paper›PMID 33507946›Full record

Trial reportPloS one2021

The Epidemiology of first and second-line drug-resistance Mycobacterium tuberculosis complex common species: Evidence from selected TB treatment initiating centers in Ethiopia.

Biniyam Dagne, Kassu Desta, Rahel Fekade, Misikir Amare, Mengistu Tadesse, Getu Diriba, Betselot Zerihun, Melak Getu, Waganeh Sinshaw, Getachew Seid and 3 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
1.1field-weighted citation impact, top 20% 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

22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  3. Epidemiology of extensively drug-resistant tuberculosis among patients with multidrug-resistant tuberculosis: A systematic review and meta-analysis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023
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  12. Resistance to pyrazinamide inJournal of clinical tuberculosis and other mycobacterial diseases · 2024
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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 3 institutions in 1 country.

Biniyam DagneEthiopian Public Health Institute, Addis Ababa, Ethiopia.ORCID 0000-0002-5930-2690
Kassu DestaDepartment of Medical Laboratory Science, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Rahel FekadeEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Misikir AmareEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Mengistu TadesseEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Getu DiribaEthiopian Public Health Institute, Addis Ababa, Ethiopia.ORCID 0000-0002-0166-682X
Betselot ZerihunEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Melak GetuEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Waganeh SinshawEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Getachew SeidEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Dinka Fekadu GamtesaEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Gebeyehu AssefaArmauer Hansen Research Institute, Addis Ababa, Ethiopia.
Ayinalem AlemuEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Ethiopian Public Health Institute · ETAddis Ababa University · ETArmauer Hansen Research Institute · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDrug-resistance in Mycobacterium tuberculosis complex remains a major health burden in human history and still is a major leading cause of death in developing countries including Ethiopia. Early detection of all forms of drug-resistant Tuberculosis(TB) is a key factor to reduce and contain the spread of these resistant strains.

methodsA health facility-based cross-sectional study was employed, based on demographic, clinical, and laboratory data collected from 204 patients with bacteriological confirmed TB. Sputum samples were analyzed using conventional TB culture and identification test followed by molecular species identification, and then phenotypic drug susceptibility tests. Data were entered using an excel spreadsheet and exported to SPSS version 20 for analysis. Descriptive analysis; frequencies, and proportions were computed.

resultsAmong the 204 sputum samples inoculated in culture media, Mycobacterium species were recovered from 165 specimens, with 160 Mycobacterium tuberculosis complex and five Non- Tuberculosis Mycobacterium(NTM) species. All Mycobacterium tuberculosis complex was found to be M. tuberculosis. Of the five NTM species, 2 M.fortuitum, 2 M.intracellulare, and 1 M.gordonae were identified. Among 160 species of M. tuberculosis isolates, 110(68.8%) were resistant to any of the anti-TB drugs. The resistance pattern was; INH (109, 68.1%), RIF (99, 61.9%), STM (73,45.6%), and EMB (32,20.0%). Mono-resistance was found for INH (7,4.3%) and STM (1,0.6%). Ninety-nine (61.9%) isolates become MDR, while resistance to any of the second-line anti-TB drugs was detected in 9 (5.6%) strains, with 8(5%) Pre-XDR and one (0.6%) XDR cases.

conclusionOur findings highlight high frequencies of drug resistance to first and second-line anti-TB drugs.Determining the drug-resistance pattern of MTB is important for programmatic management of drug-resistant TB in Ethiopia. The circulating Pre-XDR and XDR case identified in the current study is alarming to the tuberculosis control program in the country.

Indexed as

Mycobacterium tuberculosisNontuberculous MycobacteriaTuberculosis, Multidrug-ResistantTuberculosis, PulmonaryAdolescentAdultAntitubercular AgentsCross-Sectional StudiesEthiopiaFemaleHumansMaleMiddle AgedAntitubercular Agents

Identifiers

PMID33507946
PMCPMC7842946
OpenAlexW3124306207

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.