Low levels of second-line drug resistance among multidrug-resistant Mycobacterium tuberculosis isolates from Rwanda

Int J Infect Dis. 2008 Mar;12(2):152-6. doi: 10.1016/j.ijid.2007.05.003. Epub 2007 Oct 18.

Abstract

Background: Multidrug-resistant tuberculosis (MDR-TB) has become a therapeutic problem in many parts of the world, necessitating the inclusion of second-line anti-tuberculosis drugs in specific treatment regimens.

Methods: We studied the susceptibility of 69 MDR Mycobacterium tuberculosis isolates from Rwanda to second-line drugs by the BACTEC 460 method.

Results: The results showed that 62 (89.9%) were resistant to rifabutin while a low rate (4.3%) of resistance was registered for ofloxacin; there was one case (1.4%) of resistance each for para-aminosalicylic acid, kanamycin, ethionamide, and clarithromycin.

Conclusions: This information is important for devising an appropriate treatment regimen for MDR-TB patients in order to stop the spread of MDR strains and contain the acquisition of additional drug resistance in Rwanda.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aminosalicylic Acids / pharmacology
  • Anti-Bacterial Agents / pharmacology*
  • Antitubercular Agents / pharmacology
  • Clarithromycin / pharmacology
  • Drug Resistance, Multiple, Bacterial*
  • Ethionamide / pharmacology
  • Female
  • Humans
  • Kanamycin / pharmacology
  • Male
  • Microbial Sensitivity Tests
  • Mycobacterium tuberculosis / drug effects*
  • Mycobacterium tuberculosis / isolation & purification
  • Ofloxacin / pharmacology
  • Rwanda
  • Tuberculosis, Multidrug-Resistant / drug therapy
  • Tuberculosis, Multidrug-Resistant / microbiology*

Substances

  • Aminosalicylic Acids
  • Anti-Bacterial Agents
  • Antitubercular Agents
  • Kanamycin
  • Ofloxacin
  • Clarithromycin
  • Ethionamide