Patterns of Drug Resistance Among Tuberculosis Patients in West and Northwestern Iran


چاپ صفحه
پژوهان
صفحه نخست سامانه
چکیده مقاله
چکیده مقاله
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نویسندگان
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علوم پزشکی کرمانشاه
علوم پزشکی کرمانشاه

نویسندگان: پرویز مهاجری

کلمات کلیدی: Enzyme-linked immunosorbent assay, HIV-negative pulmonary TB patients, Löwenstein-Jensen, Multiple Drug Resistance, Mycobacterium Tuberculosis, Northwestern Iran, Tuberculosis (TB).

نشریه: The Open Respiratory Medicine Journal , , 10 ,

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کد مقاله 8686
عنوان فارسی مقاله
عنوان لاتین مقاله Patterns of Drug Resistance Among Tuberculosis Patients in West and Northwestern Iran
نوع مقاله مقاله اصیل (پژوهشی، Original)
بالاترین نمایه نامه بین‌المللی pubmed
سطح مقاله
IF
عنوان نشریه The Open Respiratory Medicine Journal
نوع نشریه خارجی ایندکس شده
شماره نشریه
دوره 10
تاریخ انتشار شمسی 1395/04/27
تاریخ انتشار میلادی
آدرس لینک مقاله/ همایش در شبکه اینترنت http://benthamopen.com/ABSTRACT/TORMJ-10-29
DOI 10.2174/1874306401610010029
آدرس علمی (Affiliation) نویسنده متقاضی Microbiology Department, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

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Background: Tuberculosis (TB) is the leading cause of morbidity and mortality among chronic infectious diseases. Objective: The goal of this cross-sectional study (2011-2013;2013) was to examine the patterns of TB drug resistance among HIV-negative pulmonary TB patients in regions near the Iranian border. Method: To this end, MTB isolates were harvested from 300 HIV-negative, pulmonary smear-positive TB patients from the northwest and west Iranian border provinces. Isolates were subjected to first and second-line drug susceptibility testing by the 1% proportion method. Demographic and clinical data were provided using a questionnaire and information from patient records. Results were analyzed using SPSS-18. Results: The mean age of the patients was 52.03 years and 54.3% were male. The prevalence of resistance to any TB drug was 13.6% (38 cases). Eleven percent of the new treatment TB group (28 patients) and 40.7% of the retreatment TB group (11 patients) were resistant to all TB drugs. Twelve (4.3%) patients had multidrug-resistant tuberculosis (MDR-TB) (2.38% in the new TB treatment group and 23.1% in the retreatment group). One patient had extensively drug-resistant tuberculosis (XDR-TB). There was a statistically significant relationship between TB drug resistance and smoking (p=0.02) and a history of migration from village to city (p=0.04), also between TB drug resistance and recurrence of TB in patients that had previously received treatment (p<0.001). Conclusion: Knowledge of drug resistance patterns for new and previously treated cases is critical for effective control of MDR-TB in different regions of the country. The burden of MDR-TB in retreatment cases was high. Previous TB treatment was one of the most important mokers and those who had a history of rural to urban migration were at high risk for the occurrence of TB drug resistance.

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نویسنده نفر چندم مقاله نویسنده مسئول
پرویز مهاجریسومخير

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نام فایل تاریخ درج فایل اندازه فایل دانلود
Mohajeri -2016-July.pdf1395/04/27310335دانلود