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Related Experiment Videos

[Resistant tuberculosis in Denmark].

V O Thomsen1, I S Johansen, J O Bauer

  • 1Statens Serum Institut, mykobakteriologisk laboratorium og epidemiologisk afdeling, København. vot@ssi.dk

Ugeskrift for Laeger
|April 11, 2001
PubMed
Summary
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Multidrug-resistant tuberculosis (MDR TB) surveillance in Denmark revealed low overall drug resistance. However, active transmission of isoniazid- and streptomycin-resistant Mycobacterium tuberculosis strains was detected, necessitating ongoing monitoring.

Area of Science:

  • Microbiology
  • Epidemiology
  • Public Health

Context:

  • Rising rates of multidrug-resistant tuberculosis (MDR TB) globally pose a significant public health threat.
  • Denmark, situated near regions with high MDR TB incidence, required an assessment of its own drug resistance landscape.
  • Understanding drug resistance patterns is crucial for effective tuberculosis control strategies.

Purpose:

  • To evaluate the incidence and trends of drug resistance in Mycobacterium tuberculosis isolates in Denmark between 1991 and 1998.
  • To identify specific drug-resistant strains and their epidemiological characteristics within the Danish population.
  • To assess the risk of imported versus domestically acquired drug-resistant tuberculosis.

Summary:

  • Susceptibility testing was performed on isolates from 85.4% of notified tuberculosis patients from 1991-1998.

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  • Overall drug resistance remained stable, with multidrug resistance (MDR) at 0.5%.
  • A notable finding was the identification of an isoniazid- and streptomycin-resistant RFLP-cluster among untreated Danes aged 25-54, indicating active transmission.
  • Impact:

    • The study identified active transmission of specific drug-resistant strains, highlighting the need for continued surveillance.
    • Findings suggest that while overall resistance is low, localized transmission clusters require targeted public health interventions.
    • This research provides valuable data for national tuberculosis programs to refine control and prevention efforts against drug-resistant tuberculosis.