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May 1, 2002Antimicrobial Agents and ChemotherapyOpen Access

High Prevalence of KatG Ser315Thr Substitution among Isoniazid-Resistant Mycobacterium tuberculosis Clinical Isolates from Northwestern Russia, 1996 to 2001

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Authors

IMIgor MokrousovONOlga NarvskayaTOTatiana Otten

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Overview

Surveillance study reveals a high prevalence of the katG S315T mutation in drug-resistant tuberculosis isolates, indicating a target for rapid molecular testing.

Key Points

  • Determine the prevalence of the katG Ser315Thr mutation among isoniazid-resistant Mycobacterium tuberculosis clinical isolates and evaluate a PCR-RFLP assay for rapid detection.
  • Screened 204 isoniazid-resistant and 57 isoniazid-susceptible M. tuberculosis clinical isolates collected from northwestern Russia (1996–2001) using a HapII-based PCR-RFLP assay.
  • Genotyped resistant isolates using IS6110-RFLP analysis and spoligotyping to identify Beijing family strains and assessed test specificity against culture-based drug susceptibility testing.
  • The katG S315T mutation was detected in 93.6% of isoniazid-resistant isolates and in 0% of 57 susceptible isolates, yielding a diagnostic specificity of 100%.
  • The Beijing genotype accounted for 60.3% of resistant strains and exhibited a higher frequency of the S315T substitution than non-Beijing strains (97.8% vs. 84.6% in 1999–2001 isolates; 100.0% vs. 86.5% among new cases from 1996–2001).

Cite This Study

Mokrousov et al. (2002) studied this question.

synapsesocial.com/papers/6a9464d64efb9d310ac7d0aehttps://doi.org/10.1128/aac.46.5.1417-1424.2002
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