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Drug Resistance among Pulmonary Tuberculosis Patients in Calabar, Nigeria.尼日利亚卡拉巴尔肺结核患者的耐药情况
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GenoType MTBDRplus assay for molecular detection of rifampin and isoniazid resistance in Mycobacterium tuberculosis strains and clinical samples.用于分子检测结核分枝杆菌菌株及临床样本中利福平与异烟肼耐药性的GenoType MTBDRplus检测法。
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尼日利亚耶纳戈阿肺结核患者中通过自动化GeneXpert利福平检测法检测的利福平耐药率

Prevalence of rifampicin resistance by automated Genexpert rifampicin assay in patients with pulmonary tuberculosis in Yenagoa, Nigeria.

作者信息

Ikuabe Peter Ogie, Ebuenyi Ikenna Desmond

机构信息

Department of Internal Medicine Niger Delta University Teaching Hospital Okolobiri, Bayelsa State, Nigeria.

Athena Institute, Vrije Universiteit Amsterdam, The Netherlands.

出版信息

Pan Afr Med J. 2018 Apr 6;29:204. doi: 10.11604/pamj.2018.29.204.14579. eCollection 2018.

DOI:10.11604/pamj.2018.29.204.14579
PMID:30100958
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6080957/
Abstract

INTRODUCTION

The diagnosis of tuberculosis and its treatment is challenging in resource - limited settings. The growth and speed of multi drug - resistant tuberculosis (MDR-TB) in high burden countries like Nigeria is a growing concern. This study is aimed at determining the prevalence of rifampicin resistance in sputum specimens of patients with pulmonary tuberculosis in Yenagoa, Nigeria.

METHODS

A descriptive survey of all consecutive sputum specimens of adults greater than 15 years of age that presented to the Tuberculosis Referral Hospital Laboratory were subjected to the automated Genexpert test between January and December 2016.

RESULTS

All 446 specimens were tested using the Genexpert automated system. 102 (22.9%) of the sputum specimens were positive for Mycobacterium tuberculosis, with 15 (14.7%) showing rifampicin resistance.

CONCLUSION

There was significantly high prevalence of MDR-TB much higher than the World Health Organisation (WHO) prediction of 3.2 -5.4% for Nigeria.Pan African Medical Journal - ISSN: 1937- 8688 (www.panafrican-med-journal.com)Published in partnership with the African Field Epidemiology Network (AFENET). (www.afenet.net)Pan African Medical Journal - ISSN: 1937- 8688 (www.panafrican-med-journal.com)Published in partnership with the African Field Epidemiology Network (AFENET). (www.afenet.net).

摘要

引言

在资源有限的环境中,结核病的诊断及其治疗具有挑战性。在尼日利亚等高负担国家,耐多药结核病(MDR-TB)的增长和传播速度日益令人担忧。本研究旨在确定尼日利亚耶纳戈阿肺结核患者痰标本中利福平耐药的患病率。

方法

对2016年1月至12月期间送至结核病转诊医院实验室的所有15岁以上成年人的连续痰标本进行描述性调查,并采用自动化GeneXpert检测。

结果

所有446份标本均使用GeneXpert自动化系统进行检测。102份(22.9%)痰标本结核分枝杆菌呈阳性,其中15份(14.7%)显示利福平耐药。

结论

耐多药结核病的患病率显著高于世界卫生组织(WHO)对尼日利亚3.2%-5.4%的预测。

泛非医学杂志 - ISSN:1937-8688(www.panafrican-med-journal.com)

与非洲现场流行病学网络(AFENET)合作出版。(www.afenet.net)

泛非医学杂志 - ISSN:1937-8688(www.panafrican-med-journal.com)

与非洲现场流行病学网络(AFENET)合作出版。(www.afenet.net)