Tuberculosis in Saudi Arabia: Initial and secondary drug resistance among indigenous and non-indigenous populations

Razina Zaman
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引用次数: 25

Abstract

Resistance to six anti-mycobacterial agents rifampicin, isoniazid, streptomycin, ethambutol, p-amino salicylic acid and cycloserine was studied. Variations in the resistance pattern among Saudi, non-Saudi and a stable National Guard King Khaled Hospital (NGKKH) population were investigated. A high percentage of relapse cases, 21 %, was recorded. Among the NGKKH population this figure was much lower, 9.9%. Resistance to rifampicin alone was high at 7.2% followed by streptomycin 3.3%, isoniazid 1.8%, p-amino salicylic 1.2% and cycloserine 0.8%. Resistance to rifampicin alone was higher among ‘new’ cases whilst combined resistance to two or more drugs was seen more often in ‘old’ patients. Resistance was seen more frequently among non-Saudis, both ‘old’ and ‘new’. An unusual finding was the prevalence of rifampicin resistance among non-pulmonary isolates.

沙特阿拉伯的结核病:土著和非土著人口的初始和继发耐药性
研究了对利福平、异烟肼、链霉素、乙胺丁醇、对氨基水杨酸和环丝氨酸6种抗分枝杆菌药物的耐药性。调查了沙特人、非沙特人和稳定的国民卫队哈立德国王医院(NGKKH)人群中耐药性模式的变化。复发率很高,为21%。在北柬边疆区人口中,这一数字要低得多,为9.9%。单用利福平耐药率最高,为7.2%,其次为链霉素3.3%、异烟肼1.8%、对氨基水杨酸1.2%、环丝氨酸0.8%。“新”病例中对利福平的耐药性较高,而对两种或两种以上药物的联合耐药性在“老”患者中更为常见。在非沙特人中,无论是“旧的”还是“新的”,抵抗都更为频繁。一个不寻常的发现是利福平耐药性在非肺部分离株的流行。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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