Abstract
Because within-host Mycobacterium tuberculosis diversity complicates diagnosis and treatment of tuberculosis (TB), we measured diversity prevalence and associated factors among 3,098 pulmonary TB patients in Lima, Peru. The 161 patients with polyclonal infection were more likely than the 115 with clonal or the 2,822 with simple infections to have multidrug-resistant TB.
Highlights
Because within-host Mycobacterium tuberculosis diversity complicates diagnosis and treatment of tuberculosis (TB), we measured diversity prevalence and associated factors among 3,098 pulmonary TB patients in Lima, Peru
Within-host heterogeneity of Mycobacterium tuberculosis infection is increasingly recognized as an obstacle for the accurate diagnosis [1] and effective treatment [2] of tuberculosis (TB) and may complicate the control of TB in communities [3]
Our main objectives were to estimate the prevalence of within-host M. tuberculosis heterogeneity at the time of treatment initiation in a large cohort of pulmonary TB patients in Peru and to determine if factors measurable at the baseline visit were associated with complex infections [7]
Summary
These associations were largely preserved when we repeated the analysis by using the threshold classification approach (online Technical Appendix Tables 1, 2, https://wwwnc.cdc.gov/EID/ article/23/11/17-0077-Techapp1.pdf)
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