Patterns of Drug Resistance Among Tuberculosis Patients in West and
Northwestern Iran
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 ,
| 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 |
| 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. |
| نام فایل |
تاریخ درج فایل |
اندازه فایل |
دانلود |
| Mohajeri -2016-July.pdf | 1395/04/27 | 310335 | دانلود |