| Literature DB >> 26392956 |
A Gumusboga1, K J M Aung2, L Rigouts1, A Van Deun3.
Abstract
We report community transmission of multidrug-resistant (MDR-) and extensively drug-resistant tuberculosis (XDR-TB) documented by fingerprinting, with secondary cases appearing over a period of 10 years. The index case failed MDR-TB treatment, with amplification to XDR-TB after refusing treatment when first diagnosed and developing pre-XDR-TB on private treatment. Some of the first MDR-TB patients were not started on appropriate treatment due to delayed diagnosis or to excessively rigid application of National TB Programme guidelines. Early presumptive MDR- and XDR-TB diagnosis and removal of barriers, such as obligatory hospitalisation, could have stopped this trend of resistance amplification and transmission.Entities:
Keywords: Bangladesh; MDR-TB; XDR-TB; transmission; tuberculosis
Year: 2012 PMID: 26392956 PMCID: PMC4463045 DOI: 10.5588/pha.12.0015
Source DB: PubMed Journal: Public Health Action ISSN: 2220-8372