Abstract
Extensively drug-resistant (XDR)-TB, defined as TB with resistance to at least isoniazid, rifampin, a fluoroquinolone and either amikacin, kanamycin or capreomycin, is a stark setback for global TB control. Overburdened public-health systems with inadequate resources for case detection and management and high HIV coinfection rates in many regions have contributed to the emergence of XDR-TB. Patients with XDR-TB have poor outcomes, prolonged infectious periods and limited treatment options. To prevent an epidemic of untreatable XDR-TB, improvements in XDR-TB surveillance, increased laboratory capacity for rapid detection of drug-resistant strains, better infection control and the development of new therapeutics are urgently needed.
Original language | English (US) |
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Pages (from-to) | 713-724 |
Number of pages | 12 |
Journal | Expert Review of Anti-Infective Therapy |
Volume | 6 |
Issue number | 5 |
DOIs | |
State | Published - Oct 2008 |
Keywords
- Drug-susceptibility testing
- Extensively drug-resistant tuberculosis
- Multidrug-resistant tuberculosis
- Second-line drug
- Tuberculosis
ASJC Scopus subject areas
- Microbiology (medical)
- Infectious Diseases
- Virology
- Microbiology