Table. First-line and second line antituberculosis drug resistance in 447 Mycobacterium tuberculosis strains collected in Abkhazia from September 2000 to April 2004*.
No. new cases (%) | No. previously treated cases (%) | Total no. (%) | |
---|---|---|---|
Total tested | 246 (100) | 201 (100) | 447 (100) |
Any first-line resistance | 88 (35.8) | 115 (57.2) | 203 (45.4) |
Monoresistance | |||
H only | 31 (12.6) | 28 (13.9) | 59 (13.2) |
S only | 20 (8.1) | 11 (5.5) | 31 (6.9) |
R only | 1 (<1) | 1 (<1) | 2 (<1) |
E only | 2 (<1) | 1 (<1) | 3 (<1) |
Any drug resistance | |||
Any H resistance | 65 (26.4) | 102 (50.7) | 167 (37.4) |
Any S resistance | 51 (20.7) | 80 (39.8) | 131 (29.3) |
Any R resistance | 13 (5.3) | 52 (25.9) | 65 (14.5) |
Any E resistance | 14 (5.7) | 35 (17.4) | 49 (11) |
H and R resistance | |||
MDR† | 12 (4.9) | 51 (25.4) | 63 (14.1) |
HRES only | 7 (2.8) | 24 (11.9) | 31 (6.9) |
HRS only | 4 (1.6) | 22 (10.9) | 26 (5.8) |
HRE only | 0 | 3 (1.5) | 3 (<1) |
HR only | 1 (<1) | 2 (<1) | 3 (<1) |
H + other resistances | |||
HS only | 17 (6.9) | 16 (8) | 33 (7.4) |
HES only | 3 (1.2) | 7 (3.5) | 10 (2.2) |
HE only | 2 (<1) | 0 | 2 (<1) |
R + other resistances (RE, RS, or RES only) | 0 | 0 | 0 |
Total tested to second-line drugs | 88 (100) | 115 (100) | 203 (100) |
Any second-line resistance | 14 (15.9) | 41 (35.7) | 55 (27.1) |
KM | 4 (4.5) | 25 (21.7) | 29 (14.3) |
ETH | 7 (8) | 19 (16.5) | 26 (12.8) |
CM | 3 (3.4) | 6 (5.2) | 9 (4.4) |
PAS | 2 (2.3) | 4 (3.5) | 6 (3) |
OFL | 0 | 3 (2.6) | 3 (1.5) |
CS | 0 | 0 | 0 |
Total MDR strains resistant to second-line drugs‡ | 3 (25) | 27 (52.9) | 30 (47.6) |
MDR + KM | 2 (16.7) | 10 (19.6) | 12 (19) |
MDR + ETH | 0 | 5 (9.8) | 5 (7.9) |
MDR + KM + ETH | 0 | 5 (9.8) | 5 (7.9) |
MDR + others§ | 1 (8.3) | 7 (13.7) | 8 (12.7) |
*H, isoniazid; S, streptomycin; R, rifampin; E, ethambutol; KM, kanamycin; ETH, ethionamide; CM, capreomycin; PAS, p-aminosalicylic acid; OFL, ofloxacin; CS, cycloserine. †MDR, multidrug resistant (resistant to at least H and R). ‡Values in parenthesis are the percentages of MDR strains. §For new cases: MDR + KM + CM + PAS (1 strain); for previously treated cases: MDR + KM + CM (2 strains), MDR + KM + PAS (1 strain), MDR + KM + ETH + CM (1 strain), MDR + ETH + OFL (1 strain), MDR + PAS (1 strain), MDR + PAS + CM (1 strain).