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Related Experiment Videos

[Streptomycin as second-line chemotherapy for tuberculosis].

P Ruiz1, F Rodríguez-Cano, F J Zerolo

  • 1Centro de Referencia de Micobacterias, Facultad de Medicina, Universidad de Cordoba, Cordoba, Spain. mi1carom@uco.es

Revista Espanola De Quimioterapia : Publicacion Oficial De La Sociedad Espanola De Quimioterapia
|September 16, 2003
PubMed
Summary

Streptomycin, an early tuberculosis antibiotic, shows renewed promise despite resistance concerns. Studies found low secondary resistance rates (2.1%) in Mycobacterium tuberculosis strains, indicating potential for current use.

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Area of Science:

  • Microbiology
  • Pharmacology
  • Infectious Diseases

Background:

  • Streptomycin was the first antibiotic for Mycobacterium tuberculosis (M. tuberculosis) treatment.
  • Historical monotherapy use led to resistance, reducing its clinical application.
  • Rising drug resistance necessitates re-evaluating older antibiotics like streptomycin.

Purpose of the Study:

  • To assess the current efficacy and resistance patterns of streptomycin against M. tuberculosis.
  • To understand the prevalence of streptomycin resistance in clinical isolates.

Main Methods:

  • Analysis of streptomycin susceptibility in 899 M. tuberculosis isolates (713 pulmonary, 186 extrapulmonary).
  • Utilized BACTEC 460 TB and ESP II systems for drug susceptibility testing.

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  • Employed ATCC27294 as a control strain for streptomycin, rifampicin, ethambutol, and isoniazid.
  • Main Results:

    • A low rate of secondary resistance to streptomycin was observed (2.1%) across all tested strains.
    • Multidrug resistance was identified in 12 of the M. tuberculosis isolates.
    • Pulmonary and extrapulmonary isolates showed comparable resistance profiles.

    Conclusions:

    • Streptomycin retains potential utility against M. tuberculosis, with a low incidence of secondary resistance.
    • Monitoring resistance mechanisms, including mutations in rRNA 16S and protein S12, is crucial.
    • Further research into optimized streptomycin regimens is warranted given current resistance challenges.