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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

Expected effects of adopting a 9 month regimen for multidrug-resistant tuberculosis: a population modelling analysis

TL;DR: The short-course regimen has potential to substantially lessen the multidrug-resistant tuberculosis epidemic, but this effect depends on its long-term efficacy, its ability to expand treatment access, and the role of second-line drug resistance.
Journal ArticleDOI

'I'm fed up': experiences of prior anti-tuberculosis treatment in patients with drug-resistant tuberculosis and HIV.

TL;DR: Phenotypically, gyrA mutations Ala90Val, Ser91Pro or Asp 94Ala showed a low level of resistance to LVX, while Asp94Asn/Tyr, Asp95Gly or As p94His mutations had high-level resistance.
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Amikacin Optimal Exposure Targets in the Hollow-Fiber System Model of Tuberculosis

TL;DR: The optimal exposures and kill rates identified for log-phase M. tuberculosis will be optimal even for semidormant bacilli, and the EC90 is the dosing target for intermittent therapy that optimizes cure in TB programs for MDR-TB patients.
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A standardised method for interpreting the association between mutations and phenotypic drug resistance in Mycobacterium tuberculosis

Trending Questions (1)
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.