Tuberculosis Drug Resistance in an Area of Low Endemicity in 2004 to 2006: Semiquantitative Drug Susceptibility Testing and Genotyping

Author:

Springer Burkhard123,Calligaris-Maibach Romana C.12,Ritter Claudia12,Böttger Erik C.12

Affiliation:

1. Institut für Medizinische Mikrobiologie, Universität Zürich, Zürich CH-8006, Switzerland

2. Nationales Zentrum für Mykobakterien, Zürich CH-8006, Switzerland

3. Institut für Medizinische Mikrobiologie und Hygiene, Österreichische Agentur für Gesundheit und Ernährungssicherheit, Graz A-8010, Austria

Abstract

ABSTRACT We determined the quantitative levels and the genetic mechanisms of resistance in drug-resistant clinical isolates of Mycobacterium tuberculosis sampled over a period of 3 years ( n = 45; 17 of the isolate were multidrug resistant). Our results led us to hypothesize that some strains categorized as resistant to isoniazid, ethambutol, or streptomycin by standard laboratory procedures of in vitro drug susceptibility testing may still respond to a treatment regimen that includes these agents.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference20 articles.

1. Böttger, E. C. 2001. Drug-resistant tuberculosis. Lancet357:1288-1289.

2. Fitness of antibiotic-resistant microorganisms and compensatory mutations

3. Böttger, E. C., and B. Springer. 2008. Tuberculosis: drug resistance, fitness, and strategies for global control. Eur. J. Pediatr.67:141-148.

4. CDC. 2006. Emergence of Mycobacterium tuberculosis with extensive resistance to second-line drugs—worldwide, 2000-2004. MMWR Morb. Mortal. Wkly. Rep.55:301-305.

5. High-Dose Isoniazid Therapy for Isoniazid-Resistant Murine Mycobacterium tuberculosis Infection

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