6. Drug resistance of M. Tuberculosis in patients with rifampicin-resistant xpert MTB/RIF treated with a short-term regimen

Nguyen Thi Lien Ha, Vu Quoc Dat, Nguyen Binh Hoa, Nguyen Thu Anh, Gregory Fox

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Abstract

Over the past two decades, the emergence of multidrug-resistant tuberculosis has significantly complicated global efforts to control the tuberculosis epidemic. This study aims to describe the antibiotic resistance profiles of Mycobacterium tuberculosis in Vietnamese patients with Rifampicin resistance by Xpert MTB/RIF. We conducted a descriptive, retrospective study on 752 tuberculosis patients with Rifampicin resistance by Xpert MTB/RIF who received a short-course treatment at 35 medical facilities as part of the Resistant TB Management Program in 7 provinces in Vietnam. Among them, 118 cases with isolated M. tuberculosis strains and had antibiotic resistance profiles, the rate of M. tuberculosis resistant to each drug of second-line anti-tuberculosis antibiotic is Moxifloxacin (6.96%); Amikacin (3.39%); Ofloxacin/Levofloxacin (3.51%); Kanamycin (3.39%); Capreomycin (3.39%). Ethionamide, Bedaquiline, and Delamanid were not resistant. Given the high rate of drug-resistant M. tuberculosis and the high burden of tuberculosis in Vietnam, it is important to collect the susceptibility data for key second line drugs to monitor the drug resistance trend and individualize the treatment regimen for those who have resistance to first-line anti-tuberculosis.

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