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In Saudi Arabia, cross-border transmission of multidrug-resistant (MDR) Mycobacterium tuberculosis complex (MTBC) strains might be particularly fostered by high immigration rates. Herein, we aimed to elucidate the transmission dynamics of MDR-MTBC strains and reveal a detailed prediction of all resistance-conferring mutations for the first- and second-line drugs.

infection and drug resistance

Drug-resistance profiling and transmission dynamics of multidrug-resistant &lt;em&gt;Mycobacterium tuberculosis&lt;/em&gt; in Saudi Arabia revealed by whole genome sequencing