Second-line drug susceptibility breakpoints for Mycobacterium tuberculosis using MODS assay

Autor: Theodore G. Ganiats, Kathleen D. Eisenach, RL Jackson, Luz Caviedes, Timothy C. Rodwell, Jorge Coronel, Erik J. Groessl, AP Trollip, Kanchan Ajbani, S Klages, Elena Romancenco, Tommie C. Victor, Camilla Rodrigues, VP Vineet, Richard S. Garfein, David Moore, Edward Desmond, Antonino Catanzaro, Crudu
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Ofloxacin
Capreomycin
Moxifloxacin
Drug Resistance
Antitubercular Agents
Sputum/microbiology
Pharmacology
Cardiorespiratory Medicine and Haematology
MODS
Amikacin/therapeutic use
South Africa
Kanamycin
Drug Resistance
Multiple
Bacterial

Peru
Tuberculosis
Multidrug-Resistant

fluoroquinolones
Microscopy
biology
Tuberculosis
Multidrug-Resistant/diagnosis/drug therapy/microbiology

Bacterial
Drug susceptibility
Pulmonary
Multidrug-Resistant
3. Good health
Kanamycin/therapeutic use
Infectious Diseases
Amikacin
Tuberculosis
Pulmonary/diagnosis/drug therapy/microbiology

Multiple
Fluoroquinolones
medicine.drug
Pulmonary and Respiratory Medicine
drug susceptibility testing
Antitubercular Agents/therapeutic use
India
Microbial Sensitivity Tests
purl.org/pe-repo/ocde/ford#3.03.08 [https]
Microbiology
Article
Mycobacterium tuberculosis
Second line drug
Predictive Value of Tests
medicine
Capreomycin/therapeutic use
Tuberculosis
Humans
Tuberculosis
Pulmonary

aminoglycosides
business.industry
Breakpoint
Sputum
Reproducibility of Results
Moldova
biology.organism_classification
Fluoroquinolones/therapeutic use
Good Health and Well Being
purl.org/pe-repo/ocde/ford#3.02.07 [https]
Mycobacterium tuberculosis/drug effects/isolation & purification
Microbial Sensitivity Tests/methods
Ofloxacin/therapeutic use
business
Zdroj: The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, vol 18, iss 2
Trollip, AP; Moore, D; Coronel, J; Caviedes, L; Klages, S; Victor, T; et al.(2014). Second-line drug susceptibility breakpoints for Mycobacterium tuberculosis using the MODS assay. International Journal of Tuberculosis and Lung Disease, 18(2), 227-232. doi: 10.5588/ijtld.13.0229. UC San Diego: Retrieved from: http://www.escholarship.org/uc/item/984268pf
ISSN: 1027-3719
DOI: 10.5588/ijtld.13.0229.
Popis: Author(s): Trollip, AP; Moore, D; Coronel, J; Caviedes, L; Klages, S; Victor, T; Romancenco, E; Crudu, V; Ajbani, K; Vineet, VP; Rodrigues, C; Jackson, RL; Eisenach, K; Garfein, RS; Rodwell, TC; Desmond, E; Groessl, EJ; Ganiats, TG; Catanzaro, A | Abstract: ObjectiveTo establish breakpoint concentrations for the fluoroquinolones (moxifloxacin [MFX] and ofloxacin [OFX]) and injectable second-line drugs (amikacin [AMK], kanamycin [KM] and capreomycin [CPM]) using the microscopic observation drug susceptibility (MODS) assay.SettingA multinational study conducted between February 2011 and August 2012 in Peru, India, Moldova and South Africa.DesignIn the first phase, breakpoints for the fluoroquinolones and injectable second-line drugs (n = 58) were determined. In the second phase, MODS second-line drug susceptibility testing (DST) as an indirect test was compared to MGIT™ DST (n = 89). In the third (n = 30) and fourth (n = 156) phases, we determined the reproducibility and concordance of MODS second-line DST directly from sputum.ResultsBreakpoints for MFX (0.5 μg/ml), OFX (1 μg/ml), AMK (2 μg/ml), KM (5 μg/ml) and CPM (2.5 μg/ml) were determined. In all phases, MODS results were highly concordant with MGIT DST. The few discrepancies suggest that the MODS breakpoint concentrations for some drugs may be too low.ConclusionMODS second-line DST yielded comparable results to MGIT second-line DST, and is thus a promising alternative. Further studies are needed to confirm the accuracy of the drug breakpoints and the reliability of MODS second-line DST as a direct test.
Databáze: OpenAIRE