Rifampicin-resistant and rifabutin-susceptible Mycobacterium tuberculosis strains: a breakpoint artefact?
Author(s) -
Thomas Schön,
Pontus Juréen,
Erja Chryssanthou,
Christian G. Giske,
Gunnar Kahlmeter,
Sven Hoffner,
Kristian Ängeby
Publication year - 2013
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/dkt150
Subject(s) - rifabutin , rpob , rifampicin , microbiology and biotechnology , mycobacterium tuberculosis , biology , antibacterial agent , breakpoint , antibiotics , genotype , rifamycin , tuberculosis , genetics , medicine , pathology , gene , clarithromycin , chromosomal translocation
It has long been assumed that some rifampicin-resistant Mycobacterium tuberculosis strains are susceptible to, and thus treatable with, rifabutin. However, clinical breakpoints for susceptibility testing of rifabutin as well as the evidence for a clinical effect of rifabutin in rifampicin-resistant strains remains poorly defined. The objective of this study was to re-evaluate the breakpoint for rifabutin in relation to its MIC wild-type distribution and the presence of mutations in rpoB.
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