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]

Read more

Summary

INH or RIF

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)

Conclusions
Findings
Multidrug resistance
Full Text
Paper version not known

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call

Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.