Title
Additional drug resistance of multidrug-resistant tuberculosis in patients in 9 countries
Date Issued
01 January 2015
Access level
open access
Resource Type
journal article
Author(s)
Kurbatova E.
Dalton T.
Ershova J.
Tupasi T.
Caoili J.
Walt M.
Kvasnovsky C.
Contreras C.
Leimane V.
Via L.
Kim H.
Akksilp S.
Kazennyy B.
Volchenkov G.
Jou R.
Kliiman K.
Demikhova O.
Peter Cegielski J.
Publisher(s)
Centers for Disease Control and Prevention
Abstract
Data from a large multicenter observational study of patients with multidrug-resistant tuberculosis (MDR TB) were analyzed to simulate the possible use of 2 new approaches to treatment of MDR TB: a short (9-month) regimen and a bedaquiline-containing regimen. Of 1,254 patients, 952 (75.9%) had no resistance to fluoroquinolones and second-line injectable drugs and thus would qualify as candidates for the 9-month regimen; 302 (24.1%) patients with resistance to a fluoroquinolone or second-line injectable drug would qualify as candidates for a bedaquiline-containing regimen in accordance with published guidelines. Among candidates for the 9-month regimen, standardized drug-susceptibility tests demonstrated susceptibility to a median of 5 (interquartile range 5–6) drugs. Among candidates for bedaquiline, drug-susceptibility tests demonstrated susceptibility to a median of 3 (interquartile range 2–4) drugs; 26% retained susceptibility to <2 drugs. These data may assist national TB programs in planning to implement new drugs and drug regimens.
Start page
977
End page
983
Volume
21
Issue
6
Language
English
Subjects
Scopus EID
2-s2.0-84929395533
PubMed ID
Source
Emerging Infectious Diseases
ISSN of the container
10806040
Sources of information:
Directorio de Producción Científica
Scopus