Multidrug-resistant tuberculosis in Australia, 1998-2012

The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
Joshua R FrancisJustin Waring

Abstract

To describe the epidemiology and outcomes of multidrug-resistant tuberculosis (MDR-TB) diagnosed in Australia between 1998 and 2012. A retrospective review was undertaken involving all patients with laboratory-confirmed MDR-TB notified in Australia between 1998 and 2012 inclusive. Demographic, clinical and laboratory features are described. Clinical outcomes were defined according to World Health Organization definitions of treatment success (cure and treatment completion), treatment failure, death, loss to follow-up (including transfer out), or not evaluated at treatment completion. A total of 244 cases of MDR-TB were diagnosed in Australia during the study period, representing 1.4% of all TB cases notified. The majority were born outside Australia, including one third in Papua New Guinea. Of those with treatment outcome data available, treatment success was demonstrated in 81%. Treatment success was positively associated with use of a second-line injectable agent. Those born in Papua New Guinea were less likely to achieve treatment success. MDR-TB is uncommon in Australia. The large number of cases born in Papua New Guinea, and the poorer outcomes in this cohort, represent challenges with cross-border management of MDR-TB in ...Continue Reading

Citations

Jun 20, 2020·Transactions of the Royal Society of Tropical Medicine and Hygiene·Muhammad AtifSajjad Sarwar
Jul 31, 2018·Tuberculosis Research and Treatment·Hugh MurrayJustin T Denholm
Aug 25, 2020·Communicable Diseases Intelligence·Hendrik S CamphorKate Pennington
Aug 29, 2019·Frontiers in Public Health·G Khai Lin HuangSuman S Majumdar
Jul 27, 2021·Australian and New Zealand Journal of Public Health·Vicky ChangGreg Fox

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