Evidence map›Paper›PMID 40355818›Full record

SynthesisBMC infectious diseases2025

Prevalence of bedaquiline resistance in patients with drug-resistant tuberculosis: a systematic review and meta-analysis.

Xinyang Hu, Zhiwei Wu, Jing Lei, Yanqin Zhu, Jingtao Gao

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Pooled it
  2. Review
  3. Article
  4. We Are Underprepared for Bedaquiline Resistance: A Call for Clinical and Programmatic Readiness.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  5. Article
  6. Observational
  7. Article
  8. Review
  9. Article
  10. Article
  11. Frontiers in cellular and infection microbiology · 2026
    Article
  12. Review
  13. Genomic landscape ofNew microbes and new infections · 2025
    Article
  14. Structural and functional analysis of theProceedings of the National Academy of Sciences of the United States of America · 2025
    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.

Xinyang Hu *Beijing Chest Hospital, Beijing Tuberculosis & Thoracic Tumor Research Institute, Capital Medical University, GCP Administration Office, Beijing, 101149, P.R. China.
Zhiwei Wu *Department of Orthopedic Surgery, The First Affiliated Hospital of Xiamen University, Xiamen, 361001, China.
Jing LeiBeijing Chest Hospital, Beijing Tuberculosis & Thoracic Tumor Research Institute, Capital Medical University, GCP Administration Office, Beijing, 101149, P.R. China.
Yanqin ZhuBeijing Chest Hospital, Beijing Tuberculosis & Thoracic Tumor Research Institute, Capital Medical University, GCP Administration Office, Beijing, 101149, P.R. China.
Jingtao GaoBeijing Chest Hospital, Beijing Tuberculosis & Thoracic Tumor Research Institute, Capital Medical University, GCP Administration Office, Beijing, 101149, P.R. China. jingtaogao88@126.com.

Funding

Science and Technology Program Project of Tongzhou District, Beijing WS2023029
6 · The paper itself

Abstract

backgroundDrug-resistant tuberculosis (TB) remains a major global public health challenge. While bedaquiline (BDQ) offers improved treatment outcomes for patients with multi-drug resistant TB (MDR-TB), its widespread use has led to the emergence of BDQ resistance.

methodsThis systematic review evaluated the prevalence of BDQ resistance among adult patients through searches of PubMed, Web of Science, and Embase databases. Sensitivity and subgroup analyses were performed to explore sources of heterogeneity and compare prevalence estimates across groups. The Joanna Briggs Institute's quality assessment checklist was used to evaluate the methodological quality of the included studies. Heterogeneity between studies was evaluated using Cochran's Q and I

resultsThe weighted average prevalence of BDQ resistance was 5.7% (95% CI: 3.6-8.3), with acquired resistance reported at 5.4%. Geographic differences were observed, with South Africa showing a higher prevalence (10.4%) compared to China (2.4%).High-quality studies reported a prevalence of 5.2%, while fair-quality studies reported 7.7%. Mutations in the Rv0678 gene represented a significant proportion, reaching as high as 65.6%.

conclusionsOur findings highlight an increasing trend in acquired resistance to BDQ, offering critical insights for managing MDR-TB. The application of whole-genome sequencing shows promise for advancing understanding of drug resistance mechanisms in Mycobacterium tuberculosis.

Indexed as

Antitubercular AgentsDiarylquinolinesDrug Resistance, BacterialMycobacterium tuberculosisTuberculosis, Multidrug-ResistantHumansPrevalenceAntitubercular AgentsbedaquilineDiarylquinolinesAcquired bedaquiline resistanceBedaquiline resistanceMeta-analysisSystematic reviewTuberculosis

Identifiers

PMID40355818
PMCPMC12067902

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.