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Rifampicin-resistant Mycobacterium tuberculosis: susceptibility to isoniazid and other anti-tuberculosis drugs [Short communication]

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Based on data from 14 Supranational Tuberculosis (TB) Reference Laboratories worldwide, the proportion of rifampicin (RMP) resistant isolates that were isoniazid (INH) susceptible by phenotypic drug susceptibility testing varied widely (0.5–11.6%). RMP-resistant isolates that were INH-susceptible had significantly lower rates of resistance to other first- and second-line anti-tuberculosis drugs (except rifabutin) compared to multidrug-resistant isolates. RMP resistance is not always a good proxy for a presumptive diagnosis of multidrug-resistant TB, which has implications for use of molecular assays that identify only RMP resistance-associated DNA mutations.

Keywords: drug resistance; molecular diagnostic tests; rifampicin resistance; tuberculosis

Document Type: Research Article

Affiliations: 1: Centers for Disease Control and Prevention, Atlanta, Georgia, USA 2: Division of General Internal Medicine, Albert Einstein College of Medicine, Bronx, New York, USA 3: World Health Organization, Geneva, Switzerland 4: Korean Institute of Tuberculosis, Seoul, Republic of Korea 5: Institute of Tropical Medicine, Antwerp, Belgium 6: National Institute of Infectious Diseases, Buenos Aires, Argentina 7: Institut Pasteur d'Algérie, Algiers, Algeria 8: National Reference Center for Mycobacteria, Borstel, Germany 9: Hospital Universitaris Vall d'Hebron, Barcelona, Spain 10: Institute of Public Health of Chile, Providencia Santiago, Santiago, Chile 11: National Institute of Public Health, Scrobarova, Czech Republic 12: Health Protection Agency, London, UK 13: National Institute of Health, Porto, Portugal 14: Queensland Mycobacterium Reference Laboratory, Brisbane, Queensland, Australia 15: Institute of Medical and Veterinary Science, Adelaide, South Australia, Australia

Publication date: 01 March 2012

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