Treatment of Tuberculosis in a Region with High Drug Resistance: Outcomes, Drug Resistance Amplification and Re-Infection
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{"title"=>"Treatment of tuberculosis in a region with high drug resistance: Outcomes, drug resistance amplification and re-infection", "type"=>"journal", "authors"=>[{"first_name"=>"Maryline", "last_name"=>"Bonnet", "scopus_author_id"=>"8276814700"}, {"first_name"=>"Manuela", "last_name"=>"Pardini", "scopus_author_id"=>"6602106309"}, {"first_name"=>"Francesca", "last_name"=>"Meacci", "scopus_author_id"=>"56971129000"}, {"first_name"=>"Germano", "last_name"=>"Orrù", "scopus_author_id"=>"6603502746"}, {"first_name"=>"Hasan", "last_name"=>"Yesilkaya", "scopus_author_id"=>"6506993506"}, {"first_name"=>"Thierry", "last_name"=>"Jarosz", "scopus_author_id"=>"15848417400"}, {"first_name"=>"Peter W.", "last_name"=>"Andrew", "scopus_author_id"=>"7102018329"}, {"first_name"=>"Mike", "last_name"=>"Barer", "scopus_author_id"=>"7006930309"}, {"first_name"=>"Francesco", "last_name"=>"Checchi", "scopus_author_id"=>"6603644477"}, {"first_name"=>"Heinz", "last_name"=>"Rinder", "scopus_author_id"=>"7005044420"}, {"first_name"=>"Graziella", "last_name"=>"Orefici", "scopus_author_id"=>"7005114249"}, {"first_name"=>"Sabine", "last_name"=>"Rüsch-Gerdes", "scopus_author_id"=>"7005067189"}, {"first_name"=>"Lanfranco", "last_name"=>"Fattorini", "scopus_author_id"=>"7004520484"}, {"first_name"=>"Marco Rinaldo", "last_name"=>"Oggioni", "scopus_author_id"=>"7003719516"}, {"first_name"=>"Juliet", "last_name"=>"Melzer", "scopus_author_id"=>"50262468900"}, {"first_name"=>"Stefan", "last_name"=>"Niemann", "scopus_author_id"=>"7006827120"}, {"first_name"=>"Francis", "last_name"=>"Varaine", "scopus_author_id"=>"6603365352"}], "year"=>2011, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"21886778", "doi"=>"10.1371/journal.pone.0023081", "sgr"=>"80051974563", "arxiv"=>"arXiv:1011.1669v3", "isbn"=>"1932-6203 (Electronic)\r1932-6203 (Linking)", "scopus"=>"2-s2.0-80051974563", "issn"=>"19326203", "pui"=>"362405358"}, "id"=>"e7161ddc-fcd7-3233-b195-1b5a1b94377b", "abstract"=>"INTRODUCTION: Emerging antituberculosis drug resistance is a serious threat for tuberculosis (TB) control, especially in Eastern European countries.\\n\\nMETHODS: We combined drug susceptibility results and molecular strain typing data with treatment outcome reports to assess the influence of drug resistance on TB treatment outcomes in a prospective cohort of patients from Abkhazia (Georgia). Patients received individualized treatment regimens based on drug susceptibility testing (DST) results. Definitions for antituberculosis drug resistance and treatment outcomes were in line with current WHO recommendations. First and second line DST, and molecular typing were performed in a supranational laboratory for Mycobacterium tuberculosis (MTB) strains from consecutive sputum smear-positive TB patients at baseline and during treatment.\\n\\nRESULTS: At baseline, MTB strains were fully drug-susceptible in 189/326 (58.0{%}) of patients. Resistance to at least H or R (PDR-TB) and multidrug-resistance (MDR-TB) were found in 69/326 (21.2{%}) and 68/326 (20.9{%}) of strains, respectively. Three MDR-TB strains were also extensively resistant (XDR-TB). During treatment, 3/189 (1.6{%}) fully susceptible patients at baseline were re-infected with a MDR-TB strain and 2/58 (3.4{%}) PDR-TB patients became MDR-TB due to resistance amplification. 5/47 (10.6{%}) MDR- patients became XDR-TB during treatment. Treatment success was observed in 161/189 (85.2{%}), 54/69 (78.3{%}) and 22/68 (32.3{%}) of patients with fully drug susceptible, PDR- and MDR-TB, respectively. Development of ofloxacin resistance was significantly associated with a negative treatment outcome.\\n\\nCONCLUSION: In Abkhazia, a region with high prevalence of drug resistant TB, the use of individualized MDR-TB treatment regimens resulted in poor treatment outcomes and XDR-TB amplification. Nosocomial transmission of MDR-TB emphasizes the importance of infection control in hospitals.", "link"=>"http://www.mendeley.com/research/treatment-tuberculosis-region-high-drug-resistance-outcomes-drug-resistance-amplification-reinfectio", "reader_count"=>69, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Professor > Associate Professor"=>1, "Researcher"=>13, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>7, "Student > Master"=>14, "Other"=>8, "Student > Bachelor"=>10, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>2, "Professor"=>4}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Professor > Associate Professor"=>1, "Researcher"=>13, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>7, "Student > Master"=>14, "Other"=>8, "Student > Bachelor"=>10, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>2, "Professor"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>8, "Biochemistry, Genetics and Molecular Biology"=>2, "Nursing and Health Professions"=>1, "Agricultural and Biological Sciences"=>11, "Medicine and Dentistry"=>37, "Pharmacology, Toxicology and Pharmaceutical Science"=>2, "Business, Management and Accounting"=>1, "Chemistry"=>1, "Social Sciences"=>2, "Computer Science"=>1, "Immunology and Microbiology"=>3}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>37}, "Chemistry"=>{"Chemistry"=>1}, "Social Sciences"=>{"Social Sciences"=>2}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>3}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>11}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Unspecified"=>{"Unspecified"=>8}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>2}}, "reader_count_by_country"=>{"United States"=>1, "Brazil"=>2, "Ghana"=>1, "Switzerland"=>1, "India"=>1}, "group_count"=>5}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/743683"], "description"=>"*<p>Two patients were also resistant to rifampicin and rifampicin + streptomycin. Both were defaulters.</p><p>E: ethambutol; S: streptomycin; H: isoniazid; PDR: polydrug resistance; MDR: multidrug resistance.</p>", "links"=>[], "tags"=>["outcomes", "baseline"], "article_id"=>414038, "categories"=>["Infectious Diseases"], "users"=>["Maryline Bonnet", "Manuela Pardini", "Francesca Meacci", "Germano Orrù", "Hasan Yesilkaya", "Thierry Jarosz", "Peter W. Andrew", "Mike Barer", "Francesco Checchi", "Heinz Rinder", "Graziella Orefici", "Sabine Rüsch-Gerdes", "Lanfranco Fattorini", "Marco Rinaldo Oggioni", "Juliet Melzer", "Stefan Niemann", "Francis Varaine"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0023081.t003", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Tuberculosis_treatment_outcomes_according_to_baseline_drug_resistance_patterns_/414038", "title"=>"Tuberculosis treatment outcomes according to baseline drug resistance patterns.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 15:31:05"}
  • {"files"=>["https://ndownloader.figshare.com/files/743728"], "description"=>"<p>E: ethambutol; S: streptomycin; H: isoniazid; MDR: multidrug resistance; Cm: capreomycin; Km: kanamycin; Ofx: ofloxacin; Mx: moxifloxacin; Eto: ethionamide; Pto: prothionamide; PAS: paramino salicylic acid; Cs: cycloserine.</p><p>*Empiric treatment further adapted to DST to 2nd line drugs.</p>", "links"=>[], "tags"=>["Infectious diseases"], "article_id"=>414089, "categories"=>["Infectious Diseases"], "users"=>["Maryline Bonnet", "Manuela Pardini", "Francesca Meacci", "Germano Orrù", "Hasan Yesilkaya", "Thierry Jarosz", "Peter W. Andrew", "Mike Barer", "Francesco Checchi", "Heinz Rinder", "Graziella Orefici", "Sabine Rüsch-Gerdes", "Lanfranco Fattorini", "Marco Rinaldo Oggioni", "Juliet Melzer", "Stefan Niemann", "Francis Varaine"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0023081.t001", "stats"=>{"downloads"=>1, "page_views"=>15, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Treatment_according_to_drug_resistance_patterns_/414089", "title"=>"Treatment according to drug resistance patterns.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 15:31:21"}
  • {"files"=>["https://ndownloader.figshare.com/files/743592"], "description"=>"<p>*Missing information.</p><p>**After exclusion of 4 cases with mixed or double infection.</p><p>Km: kanamycin; Ofx: ofloxacin.</p>", "links"=>[], "tags"=>["outcomes", "mdr-tb", "univariate"], "article_id"=>413946, "categories"=>["Infectious Diseases"], "users"=>["Maryline Bonnet", "Manuela Pardini", "Francesca Meacci", "Germano Orrù", "Hasan Yesilkaya", "Thierry Jarosz", "Peter W. Andrew", "Mike Barer", "Francesco Checchi", "Heinz Rinder", "Graziella Orefici", "Sabine Rüsch-Gerdes", "Lanfranco Fattorini", "Marco Rinaldo Oggioni", "Juliet Melzer", "Stefan Niemann", "Francis Varaine"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0023081.t004", "stats"=>{"downloads"=>4, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Predictors_of_poor_treatment_outcomes_of_MDR_TB_patients_univariate_analysis_N_8202_8202_43_/413946", "title"=>"Predictors of poor treatment outcomes of MDR-TB patients: univariate analysis (N = 43).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 15:30:33"}
  • {"files"=>["https://ndownloader.figshare.com/files/743449"], "description"=>"<p>A. Drug resistance increase in fully susceptible and PDR-TB patients during treatment B. Drug resistance increase to ofloxacin, kanamycin, capreomycin and XDR during MDR-TB treatment.</p>", "links"=>[], "tags"=>["amplification"], "article_id"=>413794, "categories"=>["Infectious Diseases"], "users"=>["Maryline Bonnet", "Manuela Pardini", "Francesca Meacci", "Germano Orrù", "Hasan Yesilkaya", "Thierry Jarosz", "Peter W. Andrew", "Mike Barer", "Francesco Checchi", "Heinz Rinder", "Graziella Orefici", "Sabine Rüsch-Gerdes", "Lanfranco Fattorini", "Marco Rinaldo Oggioni", "Juliet Melzer", "Stefan Niemann", "Francis Varaine"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0023081.g001", "stats"=>{"downloads"=>4, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Evolution_of_drug_resistance_during_treatment_amplification_and_re_infection_/413794", "title"=>"Evolution of drug resistance during treatment: amplification and re-infection.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 15:29:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/743632"], "description"=>"a<p>1 missing information.</p>b<p>2 missing informations.</p>c<p>One case without DST result for all 2<sup>nd</sup> line drugs.</p>d<p>Exclusion of 15 patients with mixed or double infection.</p><p>E: ethambutol; S: streptomycin; H: isoniazid; MDR: multidrug resistance; XDR: extensively drug-resistance.</p>", "links"=>[], "tags"=>["characteristics"], "article_id"=>413993, "categories"=>["Infectious Diseases"], "users"=>["Maryline Bonnet", "Manuela Pardini", "Francesca Meacci", "Germano Orrù", "Hasan Yesilkaya", "Thierry Jarosz", "Peter W. Andrew", "Mike Barer", "Francesco Checchi", "Heinz Rinder", "Graziella Orefici", "Sabine Rüsch-Gerdes", "Lanfranco Fattorini", "Marco Rinaldo Oggioni", "Juliet Melzer", "Stefan Niemann", "Francis Varaine"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0023081.t002", "stats"=>{"downloads"=>1, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Baseline_characteristics_of_patients_N_8202_8202_326_/413993", "title"=>"Baseline characteristics of patients, N = 326.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 15:30:50"}

PMC Usage Stats | Further Information

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Relative Metric

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