Shanmugam, Sivakumar and Selvakumar, N and Narayanan, Sujatha (2011) Drug resistanceamongdifferentgenotypesof Mycobacteriumtuberculosis isolated from patientsfromTiruvallur,SouthIndia. Infection, Genetics and Evolution, 11 (5). pp. 980-986. ISSN Online 1567-1348
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Abstract
India continuestohavethehighesttuberculosisincidence,accountingforonefifthoftheglobal incidenceand2/3rdofthecasesinsouthEastAsia.TheTBburdenisalsoaugmentedbymultidrug resistanceandHIV.Althoughinadequateandinappropriatetreatmentisresponsiblefordrugresistance, pathogen’sgeneticbackgroundmayalsoplayarole.Theaimofthisstudywastounderstandthe distributionofdifferentgenotypesof Mycobacteriumtuberculosis in theTiruvallur,ruralareainSouth India anditsassociationwithdrugresistance.Atotalof1649 M. tuberculosis isolatesweregenotypedby IS6110RFLPandspoligotyping.Drugsusceptibilitytestingwasdonebyminimuminhibitory concentrationmethod(MIC)onallthesamples.Asreportedearlier,theisolateswithsingleandlow copy IS6110accountedfor66%amongthe1649 M. tuberculosis strains genotyped.Themajority(84%)of our strainsbelongedtotheEastAfricanIndian(EAI)lineage,28.6%toEAI3sublineageand19.5%toEAI5 sublineage.RifampicinandstreptomycinmonoresistancefollowedbyMDR(Multi-DrugResistance, resistancetoatleastrifampicinandisoniazid)[(OR0.2[95%CI0.11-0.46],P < 0.05)] weremorecommon betweenCentralAsian(CAS),TandBeijingcomparedtoEAIlineage.InspiteofthepredominanceofEAI lineage,itsassociationwithdrugresistancewaslowercomparedtotheothergenotypesprevalentin Tiruvallur,SouthIndia
Affiliation: | ICMR-National Institute for Research in Tuberculosis |
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Item Type: | Article |
Uncontrolled Keywords: | Mycobacterium tuberculosis (M. tb), East African Indian genotype, Drug resistance |
Subjects: | Tuberculosis > Laboratory Research > Bacteriological |
Divisions: | Basic Science Research > Bacteriology |
Depositing User: | Dr. Rathinasabapati R |
Date Deposited: | 17 Jun 2022 11:27 |
Last Modified: | 17 Jun 2022 11:27 |
URI: | http://eprints.nirt.res.in/id/eprint/1099 |
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