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Chemotherapy ; 52(6): 316-20, 2006.
Article in English | MEDLINE | ID: mdl-17008783

ABSTRACT

The aim of this study was to determine the prevalence of drug-resistant tuberculosis (TB) and its associated risk factors. The susceptibilities of Mycobacterium tuberculosis isolates were tested against four first-line antituberculous drugs and were typed by spoligotyping. Spoligotyping of M. tuberculosis strains resulted in 95 different patterns that were divided into three evolutionary groups (1-3). Eighty-six (90%) of the isolates had unique patterns that were reported for the first time. Interestingly, 9.4% of the strains belonged to the Beijing family. Multidrug resistance (MDR) was seen in group 1 of the evolutionary scenario. All M. tuberculosis isolates belonging to the Beijing family were associated with a resistance pattern. MDR was much higher in bacteria isolated from Afghan TB patients residing in Iran.


Subject(s)
Drug Resistance, Multiple, Bacterial/drug effects , Mycobacterium tuberculosis/drug effects , Mycobacterium tuberculosis/isolation & purification , Tuberculosis, Multidrug-Resistant/drug therapy , Tuberculosis, Multidrug-Resistant/epidemiology , Adult , Afghanistan/epidemiology , Anti-Bacterial Agents/therapeutic use , Antibiotics, Antitubercular/therapeutic use , Drug Resistance, Multiple, Bacterial/genetics , Ethambutol/therapeutic use , Genotype , Humans , Iran/epidemiology , Isoniazid/therapeutic use , Microbial Sensitivity Tests , Middle Aged , Molecular Epidemiology , Mycobacterium tuberculosis/genetics , Prevalence , Rifampin/therapeutic use , Risk Factors , Streptomycin/therapeutic use , Tuberculosis, Multidrug-Resistant/genetics , Tuberculosis, Multidrug-Resistant/microbiology
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