The study of Pyrazinamide resistance in Mycobacterium tuberculosis isolates from high-risk groups at Office of Disease Prevention and Control 3 Nakhonsawan between fiscal year 2016 to 2018

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Published: Jan 13, 2021
Keywords:
Pyrazinamide Multidrug-resistant tuberculosis (MDR-TB) High risk group

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วีรลักษณ์ สายต่างใจ
สำนักงานป้องกันควบคุมโรคที่ 3 จังหวัดนครสวรรค์
สมวรรณ แก้วแสงทองเจริญ
อนุกูล บุญคง

Abstract

Pyrazinamide (PZA) is an important anti-tuberculosis drug and has been used in the standard anti-tuberculosis drug for the new drug-susceptible cases, including a shorter regimen for multidrug-resistant tuberculosis (MDR-TB) treatment. PZA susceptibility testing has not been tested extensively. Because of the high rate of PZA resistance in MDR-TB and a few data of PZA resistance in Thailand, this study aimed to determine the rate of PZA resistance in three high-risk groups of tuberculosis (TB) patients consists of re-treatment, on-treatment, and pre-treatment. 371 of high-risk group samples were performed drug susceptibility testing in the tuberculosis laboratory of the Office of Disease Prevention and Control 3rd, Nakhon Sawan Province, during the fiscal year 2016 to 2018. The highest rate of PZA resistance is the on-treatment group (15.9%) followed by the re-treatment group (11.0%) and pre-treatment group (8.2%), respectively but there were no statistically significant differences (P-value = 0.186). The rates of PZA resistance were found in 32.4% of MDR-TB isolates and 6.6% of pan-susceptible isolates. Comparison of drug susceptibility testing results of PZA and other four first-line anti-tuberculosis drugs i.e., streptomycin (SM), isoniazid (INH), rifampicin (RIF), and ethambutol (EMB) showed statistically significant differences. The highest rate of PZA resistance was 80.0% that found in EMB resistance isolates while PZA resistance rates of SM, INH, and RIF resistance isolates were 28.9%, 28.6%, and 27.4%, respectively. PZA susceptibility testing should be performed in three high-risk groups especially the on-treatment groups because the percentage of MDR-TB and the PZA resistance rate of this group were high. The results of drug susceptibility testing are useful to select an appropriate regimen for the treatment of TB patients that will affect the treatment success rate.

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1.
สายต่างใจ ว, แก้วแสงทองเจริญ ส, บุญคง อ. The study of Pyrazinamide resistance in Mycobacterium tuberculosis isolates from high-risk groups at Office of Disease Prevention and Control 3 Nakhonsawan between fiscal year 2016 to 2018. JDPC3 [Internet]. 2021 Jan. 13 [cited 2024 Nov. 22];14(3):56-68. Available from: https://he01.tci-thaijo.org/index.php/JDPC3/article/view/244452
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Vol. 14 No. 3 (2020): September - December
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OriginalArticle

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