Primary multidrug-resistant Mycobacterium tuberculosis in 2 regions, Eastern Siberia, Russian Federation

Emerg Infect Dis. 2013 Oct;19(10):1649-52. doi: 10.3201/eid1910.121108.

Abstract

Of 235 Mycobacterium tuberculosis isolates from patients who had not received tuberculosis treatment in the Irkutsk oblast and the Sakha Republic (Yakutia), eastern Siberia, 61 (26%) were multidrug resistant. A novel strain, S 256, clustered among these isolates and carried eis-related kanamycin resistance, indicating a need for locally informed diagnosis and treatment strategies.

Keywords: HIV; MDR TB; MIRU-VNTR; Russian Federation; Siberia; genotype; multidrug-resistant tuberculosis; mycobacterial interspersed repetitive unit; pncA; pyrazinamide; tuberculosis; tuberculosis and other mycobacteria.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Amidohydrolases / genetics
  • Amino Acid Substitution
  • Antitubercular Agents / pharmacology
  • Bacterial Proteins / genetics
  • Bacterial Typing Techniques
  • Catalase / genetics
  • Cluster Analysis
  • DNA Gyrase / genetics
  • DNA-Directed RNA Polymerases
  • Drug Resistance, Multiple, Bacterial / genetics
  • Genes, Bacterial
  • Humans
  • Minisatellite Repeats
  • Multilocus Sequence Typing
  • Mycobacterium tuberculosis / genetics*
  • Oxidoreductases / genetics
  • Pentosyltransferases / genetics
  • Prevalence
  • Siberia / epidemiology
  • Tuberculosis, Multidrug-Resistant / epidemiology
  • Tuberculosis, Multidrug-Resistant / microbiology*
  • Tuberculosis, Pulmonary / epidemiology
  • Tuberculosis, Pulmonary / microbiology*

Substances

  • Antitubercular Agents
  • Bacterial Proteins
  • rpoB protein, Mycobacterium tuberculosis
  • Oxidoreductases
  • Catalase
  • katG protein, Mycobacterium tuberculosis
  • InhA protein, Mycobacterium
  • EmbB protein, Mycobacterium tuberculosis
  • Pentosyltransferases
  • DNA-Directed RNA Polymerases
  • Amidohydrolases
  • PncA protein, Mycobacterium tuberculosis
  • DNA Gyrase