Evidence map›Paper›PMID 37452349›Full record

ArticleBMC research notes2023

GeneXpert MTB/RIF Ultra performance to detect uncommon rpoB mutations in Mycobacterium tuberculosis.

Leen Rigouts, Jelle Keysers, Reenaers Rabab, Kristina Fissette, Armand van Deun, Bouke Catherine de Jong

Open access · goldAbstract read
In one paragraph

Article in BMC research notes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 30% 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

8 citing papers in PubMed, 4 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Leen RigoutsInstitute of Tropical Medicine, Mycobacteriology Unit, Nationalestraat 155, Antwerp, Belgium. lrigouts@itg.be.
Jelle KeysersInstitute of Tropical Medicine, Mycobacteriology Unit, Nationalestraat 155, Antwerp, Belgium.
Reenaers RababInstitute of Tropical Medicine, Mycobacteriology Unit, Nationalestraat 155, Antwerp, Belgium.
Kristina FissetteInstitute of Tropical Medicine, Mycobacteriology Unit, Nationalestraat 155, Antwerp, Belgium.
Armand van DeunIndependent Consultant, Louvain, Belgium.
Bouke Catherine de JongInstitute of Tropical Medicine, Mycobacteriology Unit, Nationalestraat 155, Antwerp, Belgium.
Instituut voor Tropische Geneeskunde · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the performance of GeneXpert MTB/RIF Ultra to accurately detect rifampicin resistance for less common rpoB mutations that potentially confer phenotypic resistance, we tested 28 such Mycobacterium tuberculosis cultures with Xpert Ultra.

resultsThey represented 22 different (combinations of) rpoB mutations. Of 28 isolates tested, one was reported by Xpert Ultra as "No rifampicin resistance detected", 8 yielded a "Rifampicin indeterminate" result, and 19 were identified as rifampicin resistant. Overall, our results corroborate previous observations on the "Indeterminate" results for mutations at codon 432, while we add Lys446Gln as additional "Indeterminate" result and Pro439Leu as a false rifampicin-susceptible result. Furthermore, we document other uncommon point mutations and indels across the rpoB gene that are mostly correctly identified as rifampicin resistant by Xpert ultra (V3). Taken together, "Indeterminate" results in Xpert Ultra may indicate underlying rpoB mutations within the rifampicin-resistance determining region and thus increase the post-test probability of rifampicin resistance, albeit to an unknown extent.

Indexed as

Antibiotics, AntitubercularMycobacterium tuberculosisTuberculosis, Multidrug-ResistantDrug Resistance, BacterialHumansMutationPoint MutationRifampinSensitivity and SpecificityAntibiotics, AntitubercularRifampinGeneXpert MTB/RIF UltraRifampicin resistancerpoBTuberculosis

Identifiers

PMID37452349
PMCPMC10347863
OpenAlexW4384340963

What OpenQuestion holds

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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.