Resistance to Antituberculosis Drugs in Pulmonary Tuberculosis
- PMID: 27688532
- PMCID: PMC5034180
- DOI: 10.1016/S0377-1237(06)80097-3
Resistance to Antituberculosis Drugs in Pulmonary Tuberculosis
Abstract
Background: Incidence of drug resistance and pattern of susceptibility to antitubercular drugs in pulmonary tuberculosis amongst soldiers and their families was studied for four years at a military hospital in northwest India.
Methods: Identification and susceptibility tests were carried out as per procedures laid out in laboratory manual of Tuberculosis Research Centre (TRC), Chennai.
Results: Of the 172 strains of Mycobacterium tuberculosis (MTB) isolated from sputum samples, 150 (87.21%) were sensitive and 22 (12.79%) showed resistance to one or more antitubercular drugs. Acquired drug resistance was observed in 7 (31.82%) and primary drug resistance in 15 (68.18%) cases. Among 22 drug resistant cases, who were on short course chemotherapy (SCC), resistance to single drug was observed in 12 (54.54%), two drugs in 7 (31.82%) and to three or more drugs in 3 (13.64%) isolates. Fourteen (18.14%) strains were resistant to Streptomycin, 8 (4.65%) to Rifampicin, 11 (6.40%) to Isoniazid, 1 (0.58%) to Pyrazinamide and 2 (1.16%) to Ethambutol. Multidrug resistance was observed in 5 (2.91%) cases, of which resistance to Isoniazid and Rifampicin was present in 2 (1.16%) and their combination with other drugs in other 3 (1.74%) isolates.
Conclusions: Drug susceptibility pattern to antitubercular drugs is discussed and compared with studies from other centres.
Keywords: Antitubercular drugs; Drug resistance; Mycobacterium tuberculosis.
References
-
- Eltringhas LJ, Wilson SM, Drobniewski FA. Evaluation of bacteriophage based assay (phage amplified biological assay) as a rapid screen for resistance to isoniazid, ethambutol, streptomycin, pyrazinamide, and ciprofloxacin among clinical isolates of Mycobacterium tuberculosis. J Clinic Microbial. 1993;37:3528–3532. - PMC - PubMed
-
- Pathania V, Almeida J, Kochi TB patients and private for profit health care providers in India. WHO\TB\97. 1997:223.
-
- Udwadia ZF. India. In: Davis PDO, editor. Clinical Tuberculosis. 2nd edition. Chapman & Hall; London: 1998. pp. 591–605.
-
- Jawahar MS. Multi drug resistant tuberculosis. ICMR bulletin. 1999;29:105–114.
-
- Paramasivan CN. An overview on drug resistant tuberculosis in India. Lung India. 1998;XVI:21–28.
LinkOut - more resources
Full Text Sources
Research Materials
