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Drug resistance patterns in patients with multi-drug resistant tuberculosis (MDR - TB)

Girija Nair, T.K. Jayalakshmi, Abhay Uppe, Aparna Iyer, Aditya Agrawal
European Respiratory Journal 2012 40: P2642; DOI:
Girija Nair
1Department of Pulmonary Medicine, Padmashree Dr D. Y. Patil Hospital and Research Center, Navi Mumbai, Maharashtra, India
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T.K. Jayalakshmi
1Department of Pulmonary Medicine, Padmashree Dr D. Y. Patil Hospital and Research Center, Navi Mumbai, Maharashtra, India
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Abhay Uppe
1Department of Pulmonary Medicine, Padmashree Dr D. Y. Patil Hospital and Research Center, Navi Mumbai, Maharashtra, India
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Aparna Iyer
1Department of Pulmonary Medicine, Padmashree Dr D. Y. Patil Hospital and Research Center, Navi Mumbai, Maharashtra, India
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Aditya Agrawal
1Department of Pulmonary Medicine, Padmashree Dr D. Y. Patil Hospital and Research Center, Navi Mumbai, Maharashtra, India
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Abstract

Introduction: Incidence of drug resistance to Mycobaterium tuberculosis is increasing with with the emergence of Multi Drug Resistant (MDR) and Extensively Drug Resistant (XDR) strains1.

Aim: To study drug resistance patterns in patients with MDR tuberculosis attending the outpatients' clinic at a tertiary care center.

Methodology: Sputum of 32 patients, previously diagnosed as MDR tuberculosis was tested for culture and drug sensitivity to first and second line anti-tubercular drugs by Bactec MGIT 960 TB System 2.

Results: Resistance patterns obtained.

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A high incidence of drug resistance to first line drugs was noted. Amongst the second line drugs, high percentage of resistance to quinolones, cycloserine and ethionamide was observed. 6/32 (18.75%) patients had XDR TB.

Conclusion: The study highlights a very high percentage of drug resistance to first and second line anti tubercular drugs amongst patients with MDR TB.

References:

1. WHO Tuberculosis MDR- TB and XDR -TB 2011, progress report.

2. Novel and Improved Technologies for Tuberculosis Diagnosis: Progress and Challenges, Clin Chest Med 30 (2009) 701 - 716.

  • MDR-TB
  • Tuberculosis - management
  • Tuberculosis - diagnosis
  • © 2012 ERS
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Drug resistance patterns in patients with multi-drug resistant tuberculosis (MDR - TB)
Girija Nair, T.K. Jayalakshmi, Abhay Uppe, Aparna Iyer, Aditya Agrawal
European Respiratory Journal Sep 2012, 40 (Suppl 56) P2642;

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Drug resistance patterns in patients with multi-drug resistant tuberculosis (MDR - TB)
Girija Nair, T.K. Jayalakshmi, Abhay Uppe, Aparna Iyer, Aditya Agrawal
European Respiratory Journal Sep 2012, 40 (Suppl 56) P2642;
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