Evidence map›Paper›PMID 33947918›Full record

ArticleScientific reports2021

Whole genome analysis of extensively drug resistant Mycobacterium tuberculosis strains in Peru.

David Santos-Lazaro, Ronnie G Gavilan, Lely Solari, Aiko N Vigo, Zully M Puyen

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.8field-weighted citation impact, top 26% 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, 14 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Frontiers in microbiology · 2025
    Article
  5. Type 2 diabetes mellitus and recurrent Tuberculosis: A retrospective cohort in Peruvian military workers.Journal of clinical tuberculosis and other mycobacterial diseases · 2024
    Article
  6. Article
  7. Article
  8. Whole-Genome Sequencing ofMicroorganisms · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Structural Rigidification ofACS medicinal chemistry letters · 2022
    Article
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

5 authors at 3 institutions in 1 country.

David Santos-LazaroInstituto Nacional de Salud, Lima, Peru.
Ronnie G GavilanInstituto Nacional de Salud, Lima, Peru.
Lely SolariInstituto Nacional de Salud, Lima, Peru.
Aiko N VigoInstituto Nacional de Salud, Lima, Peru.
Zully M PuyenInstituto Nacional de Salud, Lima, Peru. zpuyeng@gmail.com.
Instituto Nacional de Salud · PEPeruvian University of Applied Sciences · PEUniversidad Privada San Juan Bautista · PE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peru has the highest burden of multidrug-resistant tuberculosis in the Americas region. Since 1999, the annual number of extensively drug-resistant tuberculosis (XDR-TB) Peruvian cases has been increasing, becoming a public health challenge. The objective of this study was to perform genomic characterization of Mycobacterium tuberculosis strains obtained from Peruvian patients with XDR-TB diagnosed from 2011 to 2015 in Peru. Whole genome sequencing (WGS) was performed on 68 XDR-TB strains from different regions of Peru. 58 (85.3%) strains came from the most populated districts of Lima and Callao. Concerning the lineages, 62 (91.2%) strains belonged to the Euro-American Lineage, while the remaining 6 (8.8%) strains belonged to the East-Asian Lineage. Most strains (90%) had high-confidence resistance mutations according to pre-established WHO-confident grading system. Discordant results between microbiological and molecular methodologies were caused by mutations outside the hotspot regions analysed by commercial molecular assays (rpoB I491F and inhA S94A). Cluster analysis using a cut-off ≤ 10 SNPs revealed that only 23 (34%) strains evidenced recent transmission links. This study highlights the relevance and utility of WGS as a high-resolution approach to predict drug resistance, analyse transmission of strains between groups, and determine evolutionary patterns of circulating XDR-TB strains in the country.

Indexed as

AdolescentAdultAntitubercular AgentsDrug Resistance, Multiple, BacterialExtensively Drug-Resistant TuberculosisFemaleGenome, BacterialHumansMaleMicrobial Sensitivity TestsMiddle AgedMutationMycobacterium tuberculosisPeruTuberculosis, Multidrug-ResistantWhole Genome SequencingAntitubercular Agents

Identifiers

PMID33947918
PMCPMC8097007
OpenAlexW3111694503

What OpenQuestion holds

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Registered trials

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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.