Clusters of multidrug-resistant Mycobacterium tuberculosis cases, Europe.

Abstract:

:Molecular surveillance of multidrug-resistant tuberculosis (MDR TB) was implemented in Europe as case reporting in 2005. For all new MDR TB cases detected from January 2003 through June 2007, countries reported case-based epidemiologic data and DNA fingerprint patterns of MDR TB strains when available. International clusters were detected and analyzed. From 2003 through mid-2007 in Europe, 2,494 cases of MDR TB were reported from 24 European countries. Epidemiologic and molecular data were linked for 593 (39%) cases, and 672 insertion sequence 6110 DNA fingerprint patterns were reported from 19 countries. Of these patterns, 288 (43%) belonged to 18 European clusters; 7 clusters (242/288 cases, 84%) were characterized by strains of the Beijing genotype family, including the largest cluster (175/288 cases, 61%). Both clustering and the Beijing genotype were associated with strains originating in eastern European countries. Molecular cluster detection contributes to identification of transmission profile, risk factors, and control measures.

journal_name

Emerg Infect Dis

authors

Devaux I,Kremer K,Heersma H,Van Soolingen D

doi

10.3201/eid1507.080994

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

1052-60

issue

7

eissn

1080-6040

issn

1080-6059

journal_volume

15

pub_type

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