Evidence map›Paper›PMID 34460307›Full record

ArticleAntimicrobial agents and chemotherapy2021

Rifampicin-Monoresistant Tuberculosis Is Not the Same as Multidrug-Resistant Tuberculosis: a Descriptive Study from Khayelitsha, South Africa.

Zubeida Salaam-Dreyer, Elizabeth M Streicher, Frederick A Sirgel, Fabrizio Menardo, Sonia Borrell, Miriam Reinhard, Anna Doetsch, Patrick G T Cudahy, Erika Mohr-Holland, Johnny Daniels and 5 more

Abstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Article
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  6. Dissecting rifampicin heteroresistance inJournal of medical microbiology · 2025
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  12. Review
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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

15 authors.

Zubeida Salaam-DreyerDivision of Medical Microbiology, Department of Pathology, University of Cape Town, Cape Town, South Africa.
Elizabeth M StreicherDST/NRF Centre of Excellence for Biomedical Tuberculosis Research/SAMRC Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch Universitygrid.11956.3a, Stellenbosch, South Africa.
Frederick A SirgelDST/NRF Centre of Excellence for Biomedical Tuberculosis Research/SAMRC Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch Universitygrid.11956.3a, Stellenbosch, South Africa.
Fabrizio MenardoSwiss Tropical and Public Health Institutegrid.416786.a, Basel, Switzerland.
Sonia BorrellSwiss Tropical and Public Health Institutegrid.416786.a, Basel, Switzerland.
Miriam ReinhardSwiss Tropical and Public Health Institutegrid.416786.a, Basel, Switzerland.
Anna DoetschSwiss Tropical and Public Health Institutegrid.416786.a, Basel, Switzerland.
Patrick G T CudahySection of Infectious Diseases, Department of Internal Medicine, Yale School of Medicinegrid.471390.8, New Haven, Connecticut, USA.
Erika Mohr-HollandMédecins Sans Frontières, Khayelitsha, Cape Town, South Africa.
Johnny DanielsMédecins Sans Frontières, Khayelitsha, Cape Town, South Africa.
Anzaan DippenaarTuberculosis Omics Research Consortium, Family Medicine and Population Health, Institute of Global Health, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.ORCID 0000-0002-2511-7534
Mark P NicolDivision of Infection and Immunity, School of Biomedical Sciences, University of Western Australia, Perth, Australia.
Sebastien GagneuxSwiss Tropical and Public Health Institutegrid.416786.a, Basel, Switzerland.ORCID 0000-0001-7783-9048
Robin M WarrenDST/NRF Centre of Excellence for Biomedical Tuberculosis Research/SAMRC Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch Universitygrid.11956.3a, Stellenbosch, South Africa.
Helen CoxDivision of Medical Microbiology, Department of Pathology, University of Cape Town, Cape Town, South Africa.ORCID 0000-0002-6538-7192

Funding

South African National Research Foundation 102985South African National Research Foundation 107799Swiss National Science Foundation 107799The Wellcome Trust 099818/Z/12/ZWellcome Trust
6 · The paper itself

Abstract

Rifampin monoresistance (RMR; rifampin resistance and isoniazid susceptibility) accounts for 38% of all rifampin-resistant tuberculosis (RR-TB) in South Africa and is increasing. We aimed to compare RMR-TB with multidrug-resistant TB (MDR-TB) in a setting with high TB, RR-TB, and HIV burdens. Patient-level clinical data and stored RR Mycobacterium tuberculosis isolates from 2008 to 2017 with available whole-genome sequencing (WGS) data were used to describe risk factors associated with RMR-TB and to compare RR-conferring mutations between RMR-TB and MDR-TB. A subset of isolates with particular RR-conferring mutations were subjected to semiquantitative rifampin phenotypic drug susceptibility testing. Among 2,041 routinely diagnosed RR-TB patients, 463 (22.7%) had RMR-TB. HIV-positive individuals (adjusted odds ratio [aOR], 1.4; 95% confidence interval [CI], 1.1 to 1.9) and diagnosis between 2013 and 2017 versus between 2008 and 2012 (aOR, 1.3; 95% CI, 1.1 to 1.7) were associated with RMR-TB. Among 1,119 (54.8%) patients with available WGS data showing RR-TB, significant differences in the distribution of

Indexed as

HIV InfectionsMycobacterium tuberculosisTuberculosisTuberculosis, Multidrug-ResistantAntitubercular AgentsHumansIsoniazidMicrobial Sensitivity TestsMutationRifampinSouth AfricaAntitubercular AgentsIsoniazidRifampindrug resistancedrug resistance evolutionhuman immunodeficiency virusMDR-TBmultidrug-resistant TBrifampinrifampin-monoresistant TBtuberculosiswhole-genome sequencing

Identifiers

PMID34460307
PMCPMC8522772

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.