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Multidrug-resistant tuberculosis in europe, 2010-2011

  • G. Günther
  • , F. Van Leth
  • , S. Alexandru
  • , N. Altet
  • , K. Avsar
  • , D. Bang
  • , R. Barbuta
  • , G. Bothamley
  • , A. Ciobanu
  • , V. Crudu
  • , M. Danilovits
  • , M. Dedicoat
  • , R. Duarte
  • , G. Gualano
  • , H. Kunst
  • , W. De Lange
  • , V. Leimane
  • , C. Magis-Escurra
  • , A.-M. McLaughlin
  • , I. Muylle
  • V. Polcová, E. Pontali, C. Popa, R. Rumetshofer, A. Skrahina, V. Solodovnikova, V. Spinu, S. Tiberi, P. Viiklepp, C. Lange, M. Rowhani, V. Avchinko, D. Katovich, D. Klimuk, V. Lobik, Z. Rohaya, A. Shirochyn, J. Kotrbova, M. Vasakova, A.B. Andersen, N. Smitsman, R. Mütterlein, S. De Lorenzo, L. Rusmane, A. Donica, I. Cernenco, V. Dubceac, F. Cuppen, I. De Guchtenaire, R. Meesters, M. Te Pas, B. Prins, A. Atunes, D. Gainaru, E. Ibraim, M. Tigau, J. Cayla, L. Fina, M.L. De Souza Galvao, J. Maldonado

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

© 2015, Centers for Disease Control and Prevention (CDC). All rights reserved.Drug-resistant Mycobacterium tuberculosis is challenging elimination of tuberculosis (TB). We evaluated risk factors for TB and levels of second-line drug resistance in M. tuberculosis in patients in Europe with multidrug-resistant (MDR) TB. A total of 380 patients with MDR TB and 376 patients with non-MDR TB were enrolled at 23 centers in 16 countries in Europe during 2010-2011. A total of 52.4% of MDR TB patients had never been treated for TB, which suggests primary transmission of MDR M. tuberculosis. At initiation of treatment for MDR TB, 59.7% of M. tuberculosis strains tested were resistant to pyrazinamide, 51.1% were resistant to >1 second-line drug, 26.6% were resistant to second-line injectable drugs, 17.6% were resistant to fuoroquinolones, and 6.8% were extensively drug resistant. Previous treatment for TB was the strongest risk factor for MDR TB. High levels of primary transmission and advanced resistance to second-line drugs characterize MDR TB cases in Europe.
Original languageEnglish
Pages (from-to)409-416
JournalEmerging Infectious Diseases
Volume21
Issue number3
DOIs
Publication statusPublished - 2015
Externally publishedYes

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