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Molecular epidemiology of tuberculosis in Kaohsiung City located at southern Taiwan, 2000-2008.


ABSTRACT:

Background

We present the first comprehensive analysis of Mycobacterium tuberculosis (MTB) isolates circulating in southern Taiwan. In this 9-year population-based study, the TB situation in the Kaohsiung region was characterized by genotypic analysis of 421 MTB isolates.

Methods

All 421 isolates of MTB were analyzed by spoligotyping and MIRU-VNTR typing. Drug-resistance patterns were also analyzed.

Results

The percentage of EAI (East African-Indian) strains increased across sampling years (2000-2008) in southern Taiwan, whereas the proportion of Beijing lineages remained unchanged. Clustering was more frequent with EAI genotype infections (odds ratio = 3.6, p<0.0001) when compared to Beijing genotypes. Notably, MTB resistance to streptomycin (STR) had significantly increased over time, but resistance to other antibiotics, including multidrug resistance, had not. Three major genes (gidB, rpsL and rrs) implicated in STR resistance were sequenced and specific mutations identified.

Conclusions

This study revealed that EAI strains were highly transmissible and that STR resistance has increased between 2000 and 2008 in Kaohsiung, Taiwan.

SUBMITTER: Chen YY 

PROVIDER: S-EPMC4309396 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature

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Publications

Molecular epidemiology of tuberculosis in Kaohsiung City located at southern Taiwan, 2000-2008.

Chen Yih-Yuan YY   Chang Jia-Ru JR   Kuo Shu-Chen SC   Tseng Fan-Chen FC   Huang Wei-Chen WC   Huang Tsi-Shu TS   Chen Yao-Shen YS   Chiueh Tzong-Shi TS   Sun Jun-Ren JR   Su Ih-Jen IJ   Dou Horng-Yunn HY  

PloS one 20150128 1


<h4>Background</h4>We present the first comprehensive analysis of Mycobacterium tuberculosis (MTB) isolates circulating in southern Taiwan. In this 9-year population-based study, the TB situation in the Kaohsiung region was characterized by genotypic analysis of 421 MTB isolates.<h4>Methods</h4>All 421 isolates of MTB were analyzed by spoligotyping and MIRU-VNTR typing. Drug-resistance patterns were also analyzed.<h4>Results</h4>The percentage of EAI (East African-Indian) strains increased acros  ...[more]

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