Evidence map›Paper›PMID 40346665›Full record

ArticleAnnals of clinical microbiology and antimicrobials2025

Drug-resistant tuberculosis profiles among patients presenting at the antituberculosis center of Brazzaville, Republic of Congo.

Breli Bonheur Ngouama, Jean Claude Djontu, Darrel Ornelle Elion Assiana, Freisnel Hermeland Mouzinga, Mita Naomie Merveille Dello, Jabar Babatunde Pacome Agbo Achimi Abdul, Christopher Mebiame Biyogho, Rhett Chester Mevyann, Guy Arnault Rogue Mfoumbi Ibinda, Micheska Epola Dibamba Ndanga and 13 more

Abstract read
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. 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

23 authors.

Breli Bonheur NgouamaFondation Congolaise pour la Recherche Médicale, Brazzaville, Republic of the Congo.
Jean Claude DjontuFondation Congolaise pour la Recherche Médicale, Brazzaville, Republic of the Congo.
Darrel Ornelle Elion AssianaFondation Congolaise pour la Recherche Médicale, Brazzaville, Republic of the Congo.
Freisnel Hermeland MouzingaFondation Congolaise pour la Recherche Médicale, Brazzaville, Republic of the Congo.
Mita Naomie Merveille DelloFondation Congolaise pour la Recherche Médicale, Brazzaville, Republic of the Congo.
Jabar Babatunde Pacome Agbo Achimi AbdulCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Christopher Mebiame BiyoghoCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Rhett Chester MevyannCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Guy Arnault Rogue Mfoumbi IbindaCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Micheska Epola Dibamba NdangaCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Franck Hardain Okemba OkombiProgramme National de Lutte contre la Tuberculose, Brazzaville, Republic of the Congo.
Michel Illoye AyetCentre Antituberculeux de Brazzaville, Brazzaville, Republic of the Congo.
Lemercier Khunell SieleCentre Antituberculeux de Brazzaville, Brazzaville, Republic of the Congo.
Roélie Foxie Mizele KitotiFondation Congolaise pour la Recherche Médicale, Brazzaville, Republic of the Congo.
Jeannhey Christevy VouvounguiFondation Congolaise pour la Recherche Médicale, Brazzaville, Republic of the Congo.
Alain Maxime MouangaFondation Congolaise pour la Recherche Médicale, Brazzaville, Republic of the Congo.
Alain Brice Vouidibio MbozoFaculté des Sciences et Techniques, Université Marien Ngouabi, Brazzaville, Republic of the Congo.
Veronique PenlapUniversity Yaoundé1, Yaoundé, Cameroon.
Ayola Akim AdegnikaCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Martin Peter GrobuschCenter for Tropical Medicine and Travel Medicine, Amsterdam, The Netherlands.
Timothy D McHughCentre for Clinical Microbiology, Division of Infection and Immunity, University College London, London, UK.
Ali ZumlaCentre for Clinical Microbiology, Division of Infection and Immunity, University College London, London, UK.
Francine NtoumiFondation Congolaise pour la Recherche Médicale, Brazzaville, Republic of the Congo. fntoumi@fcrm-congo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWHO strategy to end Tuberculosis (TB) calls for drug susceptibility testing of Mycobacterium tuberculosis (MTB) for all patients, in high TB burden settings. Thus, this study aimed to investigate the MTB drug resistance profiles and related risk factors among patients presenting to the Antituberculosis Center of Brazzaville, Republic of Congo.

methodsA cross-sectional study was carried out from July 2022 to August 2023 involving 1,121 presumptive pulmonary tuberculosis patients enrolled to the Antituberculosis Center of Brazzaville. Sputum samples were collected from all the study participants for the diagnosis of tuberculosis and rifampicin resistance, using the Xpert MTB/RIF (Cepheid, USA) assay. Samples positive for MTB with drug resistance to RIF were further tested for the second line anti-MTB drug susceptibility using the 10-color Xpert MTB/XDR assay.

resultOut of 1,121 presumptive TB patients tested, 302/1,121 (26.9%) were MTB positive. Among these, 18/302 (6.0%) had received previous TB treatment and 15/302 (5.0%) were HIV co-infected. The mean age of the study population was 34 years, with a higher prevalence in males (69.2%). Of the MTB isolates, 25/302 (8.3%) were Rifampicin-resistant, with 24/25 (96%) further confirmed as multi-resistant strains, including 6/24 (25%) pre-XDR. Risk factors for MDR-TB included a history of TB treatment (AOR = 8.96, p = 0.002) and chronic cough (AOR = 7.14, p = 0.003).

conclusionsThis study reveals a high level of drug-resistant tuberculosis in Brazzaville, with previous TB treatment being a significant risk factor. The findings underscore the need to strengthen molecular surveillance and TB management and control measures in the Republic of Congo.

Indexed as

Antitubercular AgentsMycobacterium tuberculosisTuberculosis, Multidrug-ResistantTuberculosis, PulmonaryAdolescentAdultAgedCongoCross-Sectional StudiesFemaleHIV InfectionsHumansMaleMicrobial Sensitivity TestsMiddle AgedPrevalenceAntitubercular AgentsRifampinDrug resistant Mycobacterium tuberculosisMTB/XDRRepublic of CongoXpert MTB / RIF

Identifiers

PMID40346665
PMCPMC12065265

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.