[Monitoring of Mycobacterium tuberculosis infections in Iaşi County in 2009]

Rev Med Chir Soc Med Nat Iasi. 2011 Jul-Sep;115(3):718-22.
[Article in Romanian]

Abstract

Tuberculosis is a major public health problem worldwide. Our study aimed to investigate epidemiological and demographic characteristics of tuberculosis infection and resistance to antituberculous drugs in Iasi County in 2009.

Material and method: We have analysed the epidemiological parameters for 687 patients with pulmonary tuberculosis, new cases confirmed by microscopy and cultivation on Lowenstein Jensen. First and second-line antituberculous susceptibility testing was done for 130 strains, using agar proportion method and absolute-concentration method.

Results: The number of new cases of tuberculosis was higher in rural areas and in males 41-50 years old (sex ratio=2.22). The proportion of positive cases in microscopy was 81.51%. Drug resistance was as follows: 16 isolates (12.3%) to isoniazid, 5 (3.84%) to rifampin, 2 (1.53%) to ethambutol, 2 (1.53%) to streptomycin and 4 (3.07%) were multidrug-resistant.

Conclusions: In this study we found high resistance rates to isoniazid, streptomycin and ethambutol. This requires increasing efficiency of tuberculosis diagnosis and susceptibility testing.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Antitubercular Agents / pharmacology
  • Antitubercular Agents / therapeutic use
  • Child, Preschool
  • Drug Resistance, Bacterial
  • Drug Resistance, Multiple, Bacterial
  • Female
  • Humans
  • Incidence
  • Infant
  • Infant, Newborn
  • Male
  • Microbial Sensitivity Tests
  • Middle Aged
  • Mycobacterium tuberculosis / drug effects
  • Mycobacterium tuberculosis / isolation & purification*
  • Population Surveillance
  • Poverty / statistics & numerical data
  • Retrospective Studies
  • Risk Factors
  • Romania / epidemiology
  • Rural Population / statistics & numerical data*
  • Sex Distribution
  • Sex Factors
  • Tuberculosis, Pulmonary / diagnosis
  • Tuberculosis, Pulmonary / drug therapy
  • Tuberculosis, Pulmonary / epidemiology*
  • Urban Population / statistics & numerical data*

Substances

  • Antitubercular Agents