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Relationship between Resistance to Ethambutol and Rifampin and Clinical Outcomes in Mycobacterium avium Complex Pulmonary Disease. | LitMetric

Relationship between Resistance to Ethambutol and Rifampin and Clinical Outcomes in Mycobacterium avium Complex Pulmonary Disease.

Antimicrob Agents Chemother

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.

Published: April 2022

AI Article Synopsis

  • A study examined the effects of the antibiotics ethambutol and rifampin on the treatment outcomes for patients with Mycobacterium avium complex pulmonary disease (MAC-PD).
  • The researchers found no link between high minimum inhibitory concentrations (MICs) for these drugs and the failures in treatment among the 158 patients analyzed.
  • Although a significant percentage of MAC isolates showed resistance to ethambutol (87%) and rifampin (59%), mutations in key resistance genes were infrequently detected (only 4% of resistant isolates).

Article Abstract

We evaluated the associations between the activities of ethambutol and rifampin and clinical outcomes of Mycobacterium avium complex (MAC) pulmonary disease (PD). Among 158 patients with MAC-PD, there was no relationship between high MICs for ethambutol and/or rifampin and treatment failure for MAC-PD. Ethambutol and rifampin resistance was common among MAC isolates (rates of 87% and 59%, respectively), but mutations in , , and were rare, with detection in only 4% of the drug-resistant MAC isolates.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9017369PMC
http://dx.doi.org/10.1128/aac.02027-21DOI Listing

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