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Correlations between Drug Resistance of Beijing/W Lineage Clinical Isolates of Mycobacterium tuberculosis and Sublineages: A 2009–2013 Prospective Study in Xinjiang Province, China

Xian-hua Wang, Ai-guo Ma, Xiu-xia Han, Xiao-ming Gu, Li-ping Fu, Peng-gang Li, Fen-yu Li, Qiu-zhen Wang, Hui Liang, Abudu Katar, Li-jie Wang

(School of Public Health, Medical College, Qingdao University, Qingdao, Shandong, China (mainland))

Med Sci Monit 2015; 21:1313-1318

DOI: 10.12659/MSM.892951


Background: The prevalence of drug-resistant tuberculosis (TB) in Xinjiang is higher than in other regions of China, and Beijing/W lineage Mycobacterium tuberculosis (MTB) is the dominant strain of MTB in Xinjiang. However, information on multidrug-resistant (MDR) and extensively drug-resistant (XDR) TB, particularly the correlation between MDR and the Beijing/W lineage and the correlation between drug resistance and the Beijing/W sublineage strains, is limited.
Material and Methods: We conducted a prospective study to describe the prevalence of MDR/XDR TB, Beijing/W lineage and sublineage strains in Xinjiang in China from 2009 to 2013. All MTB underwent drug susceptibility testing to the first- and second-line anti-tuberculosis drugs. The Beijing/W lineages and sublineages were detected by large-sequence polymorphisms with polymerase chain reaction.
Results: A total of 410 clinical isolates were identified. The overall percentage of MDR and XDR cases in Xinjiang was 13.2% (54/410) and 13.0% (7/54), respectively. Overall, 9.8% (14/143) of the Beijing lineage MTB were MDR patients, and 15.6% (40/257) of the Non-Beijing lineage MTB were MDR patients. In the 143 Beijing MTB lineages, 11.2% isolates were in sublineage 105, 15.4% isolates were in sublineage 207, 69.2% isolates were in sublineage 181, and 4.2% isolates were in sublineage 150. None of the isolates were detected in sublineage 142. Significant differences between the Beijing/W and non-Beijing/W strains were observed regarding INH and EMB resistance, respectively.
Conclusions: The prevalence of the MDR TB in Xinjiang remains high and imposes challenges for TB control. Four Beijing/W sublineage isolates were observed in Xinjiang. There was no correlation between MDR and the Beijing/W lineage and no correlation between drug resistance and the Beijing/W sublineage strains. Surveillance of the clinical isolates of MTB is recommended to strengthen the identification of MDR/XDR TB and sublineages of the Beijing/W strains.

Keywords: Age Factors, Adult, Adolescent, Antitubercular Agents - therapeutic use, Child, Child, Preschool, China - epidemiology, DNA, Bacterial - genetics, Drug Resistance, Multiple, Bacterial - genetics, Extensively Drug-Resistant Tuberculosis - microbiology, Genes, Bacterial, Mycobacterium tuberculosis - genetics, Prevalence, Prospective Studies, Species Specificity, Tuberculosis, Multidrug-Resistant - microbiology, young adult

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
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