Variance of Antimicrobial Resistance of Mycobacterium tuberculosis in Clinical Treatment
- VernacularTitle:结核分枝杆菌在临床治疗中的耐药变迁
- Author:
Qing ZHOU
;
Zhongfei FANG
;
Xiaomei FANG
;
Lingying XU
- Publication Type:Journal Article
- Keywords:
Pulmonary tuberculosis;
Mycobacterium tuberculosis;
Antimicrobial resistantce;
Resistant-genes;
Real-time PCR
- From:
Chinese Journal of Nosocomiology
2006;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To understand the variance of antimicrobial resistance and the mutations of resistant genes of Mycobacterium tuberculosis isolates in Haiyan area and to be helpful for infection therapy. METHODS For the patients with the positive smears of sputum, the M. tuberculosis was isolated from by sputum. The antimicrobial resistance of the isolates was detected by high and low concentration of antimicrobial agents method. The resistant-genes mutations of rpoB ane katG genes were detected by real-time PCR. RESULTS Among the 131 strains of clinical M. tuberculosis isolates, the total antimicrobial-resistant rate was 14.5%. In the patients after 2 month therapy, the total antimicrobial-resistant rate was 37.8%. The mutations of rpoB ane katG genes were 14.5% and 8.4% in the initially isolated strains, but 39.2% and 25.7% in the strains after 2 month therapy. CONCLUSIONS The drug-resistance of M. tuberculosis isolates in this area existsd before therapy of anti-infection, and,it can increase therapy time. It is important to detect the resistance and the resistant-genes mutations of the isolates.
