Table 2.
Polymorphism patterns detected by genotype MTBDRsl assay in drug‑resistant Mycobacterium tuberculosis strains
Second-line drugs | Genes | MTBDRs probe | Clinical implications | ||
---|---|---|---|---|---|
Fluoroquinolones resistance | gyrA gene | MUT 3A | 2 (12) |
Levofloxacin is not effective Moxifloxacin could be used at higher dose |
|
MUT3B | 2 (12) |
Levofloxacin is not effective Moxifloxacin is not effective |
|||
MUT 3C | 1 (6) | ||||
MUT3D | 1 (6) | ||||
MUT3B and MUT3C | 4(23) | ||||
gyrA WT3, MUT3A, MUT3B, MUT3C, MUT3D not developed | 8 (41) |
Levofloxacin is not effective Moxifloxacin could be used at higher dose |
|||
Total | N = 17(100%) | ||||
Second-line injectable drugs resistance | rrs gene | MUT 1 | 1 (12) | Amikacin, kanamycin and capreomycin are not effective | |
rrs WT1 and MUT1 not developed | 1 (12) | Kanamycin and capreomycin are likely not effective | |||
MUT 2 | 1 (12) | Amikacin, kanamycin and capreomycin are not effective | |||
rrs WT2 and MUT2 not developed | 6 (64) | Kanamycin and capreomycin are likely not effective | |||
Total | N = 8(100%) |