Evidence map›Paper›PMID 36551389›Full record

ArticleAntibiotics (Basel, Switzerland)2022

Genotypic Distribution and the Epidemiology of Multidrug Resistant Tuberculosis in Upper Northern Thailand.

Sukanya Saikaew, Aksara Thongprachum, Rodjana Pongsararuk, Aungkana Thanraka, Naowarat Kunyanone, Boonchai Chaiyasirinroje, Praphan Luangsook, Bordin Butr-Indr, Ponrut Phunpae, Usanee Wattananandkul

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 54% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

10 authors at 4 institutions in 1 country.

Sukanya SaikaewFaculty of Public Health, Chiang Mai University, Muang District, Chiang Mai 50200, Thailand.
Aksara ThongprachumFaculty of Public Health, Chiang Mai University, Muang District, Chiang Mai 50200, Thailand.ORCID 0000-0003-4055-6612
Rodjana PongsararukOffice of Disease Prevention and Control, 1 (ODPC 1) Chiang Mai, Department of Disease Control, Ministry of Public Health Thailand, Chiang Mai 50000, Thailand.
Aungkana ThanrakaDepartment of Medical Technology, Chiangrai Prachanukroh Hospital, Chiang Rai 57000, Thailand.
Naowarat KunyanoneDepartment of Medical Technology, Chiangrai Prachanukroh Hospital, Chiang Rai 57000, Thailand.
Boonchai ChaiyasirinrojeTB/HIV Research Foundation (THRF), Chiang Rai 57000, Thailand.
Praphan LuangsookDivision of Clinical Microbiology, Department of Medical Technology, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200, Thailand.
Bordin Butr-IndrDivision of Clinical Microbiology, Department of Medical Technology, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200, Thailand.
Ponrut PhunpaeDivision of Clinical Microbiology, Department of Medical Technology, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200, Thailand.
Usanee WattananandkulDivision of Clinical Microbiology, Department of Medical Technology, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200, Thailand.ORCID 0000-0002-6648-8972
Chiang Mai University · THChiangRai Prachanukroh Hospital · THChiang Rai Rajabhat University · THMinistry of Public Health · TH

Funding

Health Systems Research Institute (HSRI) under Thailand Grand Challenge Research Program 62-018Health Systems Research Institute (HSRI) under Thailand Grand Challenge Research Program 63-112the Government Budget grant, NRCT 170202the Government Budget grant, NRCT 517603the Graduate Study Development Grant, National Re-search Council of Thailand (NRCT) 12323
6 · The paper itself

Abstract

The epidemiology and genotypes of multidrug-resistant tuberculosis (MDR-TB), a global public health threat, remain limited. The genotypic distribution and factors associated with MDR-TB in upper northern Thailand between 2015 and 2019 were investigated. The DNA sequencing of rpoB, katG, and inhA promoter of 51 multidrug-resistant Mycobacterium tuberculosis isolates revealed nine patterns of the rpoB gene mutation distributed in seven provinces. The S531L mutation was the most common mutation in all provinces. The rpoB mutation in Chiang Rai, Chiang Mai, and Lampang was highly diverse compared to other areas. Here, the mutation profiles that have yet to be reported in northern Thailand (H526P, Q513P, and H526C) were detected in Chiang Rai province. The S315T katG mutation was the most common genotype associated with INH resistance, especially in Chiang Mai and Lampang. Further analysis of data from 110 TB patients (42 MDR-TB and 68 drug-susceptible TB) revealed that <60 years of age was a significant factor associated with MDR-TB (OR = 0.316, 95% CI 0.128−0.784, p = 0.011) and ≥60 years of age was a significant factor associated with the S315T katG-mutation (OR = 8.867, 95% CI 0.981−80.177, p = 0.047). This study highlighted the necessity for continuous surveillance and risk factor monitoring for effective control of MDR-TB.

Indexed as

isoniazid resistancemutationrifampicin resistancerisk factortuberculosis

Identifiers

PMID36551389
PMCPMC9774302
OpenAlexW4311054745

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.