Individualized Treatment of Multidrug-resistant Tuberculosis Using Whole-Genome Sequencing and Expanded Drug-Susceptibility Testing

Author:

Dookie Navisha12,Padayatchi Nesri12,Lessells Richard J13,Naicker Cherise L12,Chotoo Sunitha4,Naidoo Kogieleum12

Affiliation:

1. Centre for the AIDS Programme of Research in South Africa (CAPRISA), Nelson R Mandela School of Medicine, College of Health Sciences, University of KwaZulu-Natal Durban, South Africa

2. South African Medical Research Council-CAPRISA HIV-TB Pathogenesis and Treatment Research Unit, Doris Duke Medical Research Institute, University of KwaZulu-Natal Durban, South Africa

3. KwaZulu-Natal Research Innovation and Sequencing, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa

4. King Dinu-Zulu Hospital Complex, South African National Department of Health, eThekwini Health District, Durban, South Africa

Abstract

Abstract A case of multidrug-resistant tuberculosis is presented. It highlights the role of whole-genome sequencing, expanded phenotypic drug susceptibility testing, and enhanced case management, offering a more complete understanding of drug susceptibility to Mycobacterium tuberculosis. This approach guides an effective individualized treatment strategy that results in rapid sustained culture conversion.

Funder

European and Developing Countries Clinical Trials Partnership

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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