| Title |
High prevalence of drug resistance amongst HIV-exposed and -infected children in a tuberculosis prevention trial [Short communication]
|
|---|---|
| Published in |
The International Journal of Tuberculosis and Lung Disease, February 2012
|
| DOI | 10.5588/ijtld.10.0795 |
| Pubmed ID | |
| Authors |
A. C. Hesseling, S. Kim, S. Madhi, S. Nachman, H. S. Schaaf, A. Violari, T. C. Victor, G. McSherry, C. Mitchell, M. F. Cotton, IMPAACT P1041 Team |
| Abstract |
An emergence of drug-resistant tuberculosis (DR-TB) in settings affected by human immunodeficiency virus (HIV) and tuberculosis (TB) has been observed. We investigated the prevalence of DR-TB in P1041, a multicentred, randomised, double-blind trial which compared the administration of isoniazid (INH) to placebo, in HIV-exposed, non-infected and -infected African infants in the absence of any documented TB exposure. The prevalence of multidrug-resistant TB (MDR-TB) was 22.2% (95%CI 8.5-45.8) and INH monoresistance 5.6% (95%CI 0.1-27.6) among culture-confirmed cases, with all MDR-TB occurring in a single site. There was no association between INH treatment or placebo group, or between HIV infection status, and DR-TB prevalence. There was a high prevalence of DR-TB among HIV-exposed and -infected children. Surveillance of DR-TB among children in high-burden TB-HIV settings should be routine. |
Login to access the Attention Digest and the Sentiment Analysis related to this output.
Mendeley demographics
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| South Africa | 1 | <1% |
| Vietnam | 1 | <1% |
| Tanzania, United Republic of | 1 | <1% |
| Peru | 1 | <1% |
| India | 1 | <1% |
| United Kingdom | 1 | <1% |
| Spain | 1 | <1% |
| Unknown | 111 | 94% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 26 | 22% |
| Student > Master | 21 | 18% |
| Student > Ph. D. Student | 12 | 10% |
| Student > Bachelor | 8 | 7% |
| Other | 5 | 4% |
| Other | 20 | 17% |
| Unknown | 26 | 22% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 48 | 41% |
| Nursing and Health Professions | 8 | 7% |
| Agricultural and Biological Sciences | 5 | 4% |
| Immunology and Microbiology | 5 | 4% |
| Pharmacology, Toxicology and Pharmaceutical Science | 5 | 4% |
| Other | 18 | 15% |
| Unknown | 29 | 25% |