Relationship between Resistance to Ethambutol and Rifampin and Clinical Outcomes in Mycobacterium avium Complex Pulmonary Disease

被引:9
作者
Moon, Seong Mi [1 ]
Kim, Su-Young [2 ]
Kim, Dae Hun [2 ]
Huh, Hee Jae [3 ]
Lee, Nam Yong [3 ]
Jhun, Byung Woo [2 ]
机构
[1] Sungkyunkwan Univ, Samsung Changwon Hosp, Dept Med, Div Pulm & Crit Care Med,Sch Med, Chang Won, South Korea
[2] Sungkyunkwan Univ, Samsung Med Ctr, Dept Med, Div Pulm & Crit Care Med,Sch Med, Seoul, South Korea
[3] Sungkyunkwan Univ, Samsung Med Ctr, Dept Lab Med & Genet, Sch Med, Seoul, South Korea
关键词
Mycobacterium avium complex; ethambutol; rifampin; MIC; outcome; MACROLIDE RESISTANCE; RPOB GENE; TUBERCULOSIS; INFECTION; MUTATIONS; EPIDEMIOLOGY; EMERGENCE; THERAPY;
D O I
10.1128/aac.02027-21
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
We evaluated the associations between the in vitro activities of ethambutol and rifampin and clinical outcomes of Mycobacterium avium complex (MAC) pulmonary disease (PD). Among 158 patients with MAC-PD, there was no relationship between high MICs for ethambutol and/or rifampin and treatment failure for MAC-PD. Ethambutol and rifampin resistance was common among MAC isolates (rates of 87% and 59%, respectively), but mutations in embB, rpoB, and rpoC were rare, with detection in only 4% of the drug-resistant MAC isolates.
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页数:5
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