Mutant prevention concentration of isoniazid, rifampicin and rifabutin against Mycobacterium tuberculosis.

Abstract:

BACKGROUND:Mutant prevention concentration (MPC) is a new parameter that may be of aid in determining the risk of resistant mutants being selected. METHODS:The MPCs of 224 Mycobacterium tuberculosis clinical isolates were estimated by plating more than 10(10) cells on drug-containing agar and determining the concentration that allowed no colony growth. Antibiotics used were isoniazid, rifampicin and rifabutin. RESULTS:The MPC90 of clinical isolates in our setting is 2.4, 2.2 and 0.4 mg/l for isoniazid, rifampicin and rifabutin, respectively. CONCLUSIONS:Isoniazid and rifampicin are two drugs that present a low risk of selection of resistant mutants when used in monotherapy. However, determination of the MPC of each strain can provide data to minimize this risk and thus enable treatment to be optimized.

journal_name

Chemotherapy

journal_title

Chemotherapy

authors

Rodríguez JC,Cebrián L,Ruiz M,López M,Royo G

doi

10.1159/000085613

subject

Has Abstract

pub_date

2005-05-01 00:00:00

pages

76-9

issue

2-3

eissn

0009-3157

issn

1421-9794

pii

85613

journal_volume

51

pub_type

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