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Journal ArticleDOI

The epidemiology, pathogenesis, transmission, diagnosis, and management of multidrug-resistant, extensively drug-resistant, and incurable tuberculosis

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TLDR
Several lines of evidence suggest that alternative mechanisms-including pharmacokinetic variability, induction of efflux pumps that transport the drug out of cells, and suboptimal drug penetration into tuberculosis lesions-are likely crucial to the pathogenesis of drug-resistant tuberculosis.
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This article is published in The Lancet Respiratory Medicine.The article was published on 2017-04-01. It has received 461 citations till now. The article focuses on the topics: Bedaquiline & Delamanid.

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Citations
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Therapeutic drug monitoring in patients with tuberculosis and concurrent medical problems

TL;DR: The aim of this review is to provide an update on drugs used in TB, treatment strategies for these drugs, and TDM to support broader implementation and help to refine treatment and thereby reduce adverse effects and poor treatment outcomes.
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Emergence and selection of isoniazid and rifampin resistance in tuberculosis granulomas.

TL;DR: This approach allows drug-specific prediction of drug resistance emergence and selection in the complex granuloma context and can be implemented relatively early in the treatment development process, thereby enabling pro-active rather than reactive responses to emerging drug resistance for new drugs.
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New drugs and regimens for tuberculosis

TL;DR: It is hoped an easily applicable combination of biomarkers that accurately predict individual treatment outcome will soon be available to ultimately guide individualized therapy.
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Development of tuberculosis vaccines in clinical trials: Current status.

TL;DR: This article summarizes the current status of TB vaccine development and identifies crucial gaps of research for the development of an effective TB vaccine in all age groups.
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Identification of a Novel Serum Biomarker for Tuberculosis Infection in Chinese HIV Patients by iTRAQ-Based Quantitative Proteomics.

TL;DR: ENG demonstrated the diagnostic efficacy and presented a novel molecular biomarker for TB in HIV-infected Chinese patients, which provided new insight into the challenges in the diagnosis and effective management of patients with HIV-TB.
References
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Journal ArticleDOI

Simultaneous detection and strain differentiation of Mycobacterium tuberculosis for diagnosis and epidemiology.

TL;DR: A novel method based on strain-dependent hybridization patterns of in vitro-amplified DNA with multiple spacer oligonucleotides was found to differentiate M. bovis from M. tuberculosis, a distinction which is often difficult to make by traditional methods.
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Strain identification of Mycobacterium tuberculosis by DNA fingerprinting: recommendations for a standardized methodology.

TL;DR: In this article, the authors proposed a standardized technique which exploits variability in both the number and genomic position of IS6110 to generate strain-specific patterns for DNA fingerprinting of Mycobacterium tuberculosis.
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Developmental Pharmacology — Drug Disposition, Action, and Therapy in Infants and Children

TL;DR: This review examines the developmental changes that profoundly affect the responses of children to medications and related therapies in the very young.
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Extensively drug-resistant tuberculosis as a cause of death in patients co-infected with tuberculosis and HIV in a rural area of South Africa

TL;DR: MDR tuberculosis is more prevalent than previously realised in a rural area in KwaZulu Natal, South Africa and has been transmitted to HIV co-infected patients and is associated with high mortality.
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Detection of rifampicin-resistance mutations in Mycobacterium tuberculosis

TL;DR: Substitution of a limited number of highly conserved aminoacids encoded by the rpoB gene appears to be the molecular mechanism responsible for "single step" high-level resistance to rifampicin in M tuberculosis, a marker of multidrug-resistant tuberculosis.
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How to cure tuberculosis without medicine?

This poses several challenges similar to those encountered in the pre-chemotherapy era, including the inability to cure tuberculosis, high mortality, and the need for alternative methods to prevent disease transmission.