Resistències als principals fàrmacs antituberculosos. Importància, detecció i alteracions genètiques associades

Authors

  • Griselda Tudó
  • Julià González Martín

Abstract

From 8-9 million cases of tuberculosis and two million deaths from this disease are declared yearly around the world. Ten percent of the cases are resistant to some of the drugs used in the treatment of tuberculosis. Different factors are related to drug resistance such as previous treatment and immigration as well as economic conditions. Different techniques may be used to determine drug resistance, with phenotypic methods based on sensitivity tests being the most commonly used, and these methods are considered to be the reference ones. Nonetheless, 3- 4 weeks are required to achieve reliable results. In recent years attempts have been made to shorten the incubation time with methods based on liquid media and semi-automatic readings providing results within 1-2 weeks. Another potential alternative is genotyping methods based on the detection of resistance mutations. Although, to date, not all resistance mutations have been determined, those with resistance to the most important drugs have been widely studied and techniques for direct detection of mutations in samples are currently under study. Future challenges include the development of techniques which increase the sensitivity of direct detection methods in samples and the establishment of the transmission power and virulence of resistant strains.

Published

2006-02-01

Issue

Section

Altres antimicrobians