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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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A standardised method for interpreting the association between mutations and phenotypic drug resistance in Mycobacterium tuberculosis

TL;DR: This study provides a standardised and comprehensive approach for the interpretation of mutations as predictors of M. tuberculosis drug- resistant phenotypes and has implications for the clinical interpretation of molecular diagnostics and next-generation sequencing as well as efficient individualised therapy for patients with drug-resistant tuberculosis.
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Evolution of drug resistance in Mycobacterium tuberculosis: a review on the molecular determinants of resistance and implications for personalized care

TL;DR: Advances in sequencing technology will help devise better molecular diagnostics for more effective DR-TB management enabling personalized treatment, and will facilitate the development of new drugs aimed at improving outcomes of patients with this disease.
References
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Journal ArticleDOI

The Epidemiology of Tuberculosis in San Francisco -- A Population-Based Study Using Conventional and Molecular Methods

TL;DR: Analysis of M. tuberculosis isolates from all patients reported to the tuberculosis registry in San Francisco during 1991 and 1992 confirmed that poorly compliant patients with infectious tuberculosis have a substantial adverse effect on the control of this disease.
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Xpert® MTB/RIF assay for pulmonary tuberculosis and rifampicin resistance in adults.

TL;DR: This updated Cochrane Review on the diagnostic accuracy of Xpert® MTB/RIF for pulmonary TB and rifampicin resistance detection was performed as part of a WHO process to develop updated guidelines on the use of the test.
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A small-molecule nitroimidazopyran drug candidate for the treatment of tuberculosis.

TL;DR: It is concluded that nitroimidazopyrans offer the practical qualities of a small molecule with the potential for the treatment of tuberculosis and bactericidal activity against both replicating and static M. tuberculosis.
Journal ArticleDOI

The emergence of drug-resistant tuberculosis in New York City.

TL;DR: There has been a marked increase in drug-resistant tuberculosis in New York City and previously treated patients, those infected with HIV, and injection-drug users are at increased risk for drug resistance.
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A standardised method for interpreting the association between mutations and phenotypic drug resistance in Mycobacterium 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.