Emerging Infectious Diseases (Mar 2017)

pncA Gene Mutations Associated with Pyrazinamide Resistance in Drug-Resistant Tuberculosis, South Africa and Georgia

  • Salim Allana,
  • Elena Shashkina,
  • Barun Mathema,
  • Nino Bablishvili,
  • Nestani Tukvadze,
  • N. Sarita Shah,
  • Russell R. Kempker,
  • Henry M. Blumberg,
  • Pravi Moodley,
  • Koleka Mlisana,
  • James C.M. Brust,
  • Neel R. Gandhi

DOI
https://doi.org/10.3201/eid2303.161034
Journal volume & issue
Vol. 23, no. 3
pp. 491 – 495

Abstract

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Although pyrazinamide is commonly used for tuberculosis treatment, drug-susceptibility testing is not routinely available. We found polymorphisms in the pncA gene for 70% of multidrug-resistant and 96% of extensively drug-resistant Mycobacterium tuberculosis isolates from South Africa and Georgia. Assessment of pyrazinamide susceptibility may be prudent before using it in regimens for drug-resistant tuberculosis.

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