Ritacco V, Di Lonardo M, Reniero A, Ambroggi M, Barrera L, Dambrosi A, Lopez B, Isola N, de Kantor IN, 1997. Nosocomial spread of human immunodeficiency virus-related multidrug-resistant tuberculosis in Buenos Aires. J Infect Dis 176: 637–642.
Aita J, Barrera L, Reniero A, Lopez B, Biglione J, Weisburd G, Rajmil JC, Largacha C, Ritacco V, 1996. Hospital transmission of multidrug-resistant Mycobacterium tuberculosis in Rosario, Argentina. Medicina (B Aires) 56: 48–50.
Ritacco V, López B, Ambroggi M, Palmero D, Salvadores B, Gravina E, Mazzeo E, Imaz S, Barrera L; National TB Laboratory Network, 2012. HIV infection and geographically bound transmission of drug-resistant tuberculosis, Argentina. Emerg Infect Dis 18: 1802–1810.
Hillemann D, Warren R, Kubica T, Rüsch-Gerdes S, Niemann S, 2006. Rapid detection of Mycobacterium tuberculosis Beijing genotype strains by real-time PCR. J Clin Microbiol 44: 302–306.
Mokrousov I, Vyazovaya A, Zhuravlev V, Otten T, Millet J, Jiao WW, Shen AD, Rastogi N, Vishnevsky B, Narvskaya O, 2014. Real-time PCR assay for rapid detection of epidemiologically and clinically significant Mycobacterium tuberculosis Beijing genotype isolates. J Clin Microbiol 52: 1691–1693.
Millán-Lou MI et al. 2012. Rapid test for identification of a highly transmissible Mycobacterium tuberculosis Beijing strain of sub-Saharan origin. J Clin Microbiol 50: 516–518.
Stucki D et al. 2015. Tracking a tuberculosis outbreak over 21 years: strain-specific single-nucleotide polymorphism typing combined with targeted whole-genome sequencing. J Infect Dis 211: 1306–1316.
Eldholm V, Monteserin J, Rieux A, Lopez B, Sobkowiak B, Ritacco V, Balloux F, 2015. Four decades of transmission of a multidrug-resistant Mycobacterium tuberculosis outbreak strain. Nat Commun 6: 7119.
Brynildsrud OB et al. 2018. Global expansion of Mycobacterium tuberculosis lineage 4 shaped by colonial migration and local adaptation. Sci Adv 4: eaat5869.
Perez-Lago L, Martinez Lirola M, Herranz M, Comas I, Bouza E, Garcia-de-Viedma D, 2015. Fast and low-cost decentralized surveillance of transmission of tuberculosis based on strain-specific PCRs tailored from whole genome sequencing data: a pilot study. Clin Microbiol Infect 21: 249 e1–249 e9.
Perez-Lago L, Herranz M, Comas I, Ruiz-Serrano MJ, Lopez Roa P, Bouza E, García-de-Viedma D. 2016. Ultrafast assessment of the presence of a high-risk Mycobacterium tuberculosis strain in a population. J Clin Microbiol 54: 779–781.
Perez-Lago L, Martinez-Lirola M, Garcia S, Herranz M, Mokrousov I, Comas I, Martínez-Priego L, Bouza E, García-de-Viedma D, 2016. Urgent implementation in a hospital setting of a strategy to rule out secondary cases caused by imported extensively drug-resistant Mycobacterium tuberculosis strains at diagnosis. J Clin Microbiol 54: 2969–2974.
Oelemann MC, Diel R, Vatin V, Haas W, Rüsch-Gerdes S, Locht C, Niemann S, Supply P, 2007. Assessment of an optimized mycobacterial interspersed repetitive unit-variable number of tandem repeat typing system combined with spoligotyping for population-based molecular epidemiology studies of tuberculosis. J Clin Microbiol 45: 691–697.
Waisman JL, Palmero DJ, Güemes-Gurtubay JL, Videla JJ, Moretti B, Cantero M, Ambroggi MG, Poggi SE, Sancineto AE, Alberti FA, 2006. Evaluation of the control measures adopted against an epidemic of AIDS-related multidrug-resistant tuberculosis in a Latin-American Hospital (Spanish). Enferm Infecc Microbiol Clin 24: 71–76.
Eldholm V, Rieux A, Monteserin J, Montana Lopez J, Palmero D, Lopez B, Ritacco V, Didelot X, Balloux F, 2016. Impact of human immunodeficiency virus co-infection on the evolution and transmission of multidrug-resistant tuberculosis. ELife 5: e16644.
World Health Organization, 2018. WHO Global Tuberculosis Report 2018. Geneva, Switzerland: WHO, Licence: CC BY-NC-SA 3.0 IGO. 1.
Hurtado RM, Meressa D, Goldfeld AE, 2018. Treatment of drug-resistant tuberculosis among people living with HIV. Curr Opin HIV AIDS 13: 478–485.
Alonso M, Herranz M, Martinez Lirola M, Gonzalez-Rivera M, Bouza E, Garcia de Viedma D, 2012. Real-time molecular epidemiology of tuberculosis by direct genotyping of smear-positive clinical specimens. J Clin Microbiol 50: 1755–1757.
Pérez-Lago L et al. 2017. A novel strategy based on genomics and specific PCR reveals how a multidrug-resistant Mycobacterium tuberculosis strain became prevalent in Equatorial Guinea 15 years after its emergence. Clin Microbiol Infect 23: 92–97.
Mambuque ET, Abascal E, Venter R, Bulo H, Bouza E, Theron G, García-Basteiro AL, García-de-Viedma D, 2018. Direct genotyping of Mycobacterium tuberculosis from Xpert® MTB/RIF remnants. Tuberculosis (Edinb) 111: 202–206.
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Two Mycobacterium tuberculosis strains—M (sublineage 4.1) and Ra (sublineage 4.3)—have long prevailed in Argentina among patients with multidrug-resistant tuberculosis (MDR-TB). Recently, budget constraints have hampered the surveillance of MDR-TB transmission. Based on whole-genome sequence analysis, we used M- and Ra-specific single nucleotide polymorphisms to tailor two multiplex allele-specific polymerase chain reactions (PCRs), which we applied to 252 stored isolates (95% of all newly diagnosed MDR-TB cases countrywide, 2015–2017). Compared with the latest data available (2007–2009), the M strain has receded (80/324 to 20/252, P < 0.0001), particularly among cross-border migrants (12/58 to 0/53, P = 0.0003) and HIV-infected people (30/97 to 7/74, P = 0.0007), but it still accounts for 4/12 new cases of extensively drug-resistant TB. Differently, the Ra strain remained stable in frequency (39/324 to 33/252) and contributed marginally to the extensive drug-resistance load (1/12). Our novel strategy disclosed recent trends of the two major MDR-TB strains, providing meaningful data to allocate control interventions more efficiently.
Financial support: This work was supported by the ERANet-LAC (TRANS-TB-TRANS Project ELAC2015/T08-0664), the ISCIII (AC16/00057, 15/01554, 16/01449, 18/00599, CP15/00075, and contract number MS15/00075), and the ANPCyT (grant number PICT-2016-3219). This work was cofunded by European Regional Development Funds from the European Commission: “A way of making Europe”.
Authors’ addresses: Johana Monteserin, Noemí Yokobori, and Viviana Ritacco, Instituto Nacional de Enfermedades Infecciosas ANLIS, Buenos Aires, Argentina, and Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina, E-mails: johamonteserin@gmail.com, kaoru.noemi@gmail.com, and vivianaritacco@gmail.com. Laura Pérez-Lago and Sandra Rodríguez Maus, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain, E-mails: lperezg00@gmail.com and srodriguezm86@gmail.com. Roxana Paul, Norberto Simboli, and Beatriz López, Instituto Nacional de Enfermedades Infecciosas ANLIS, Buenos Aires, Argentina, E-mails: rpaul@anlis.gov.ar, nsimboli@anlis.gov.ar, and bealopez@anlis.gov.ar. Vegard Eldholm, Norwegian Institute of Public Health, Oslo, Norway, v.eldholm@gmail.com. Darío García de Viedma, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain, and CIBER Enfermedades Respiratorias, CIBERES, Madrid, Spain, E-mail: dgviedma2@gmail.com.
These authors contributed equally to this work.
These authors contributed equally to this work.
Ritacco V, Di Lonardo M, Reniero A, Ambroggi M, Barrera L, Dambrosi A, Lopez B, Isola N, de Kantor IN, 1997. Nosocomial spread of human immunodeficiency virus-related multidrug-resistant tuberculosis in Buenos Aires. J Infect Dis 176: 637–642.
Aita J, Barrera L, Reniero A, Lopez B, Biglione J, Weisburd G, Rajmil JC, Largacha C, Ritacco V, 1996. Hospital transmission of multidrug-resistant Mycobacterium tuberculosis in Rosario, Argentina. Medicina (B Aires) 56: 48–50.
Ritacco V, López B, Ambroggi M, Palmero D, Salvadores B, Gravina E, Mazzeo E, Imaz S, Barrera L; National TB Laboratory Network, 2012. HIV infection and geographically bound transmission of drug-resistant tuberculosis, Argentina. Emerg Infect Dis 18: 1802–1810.
Hillemann D, Warren R, Kubica T, Rüsch-Gerdes S, Niemann S, 2006. Rapid detection of Mycobacterium tuberculosis Beijing genotype strains by real-time PCR. J Clin Microbiol 44: 302–306.
Mokrousov I, Vyazovaya A, Zhuravlev V, Otten T, Millet J, Jiao WW, Shen AD, Rastogi N, Vishnevsky B, Narvskaya O, 2014. Real-time PCR assay for rapid detection of epidemiologically and clinically significant Mycobacterium tuberculosis Beijing genotype isolates. J Clin Microbiol 52: 1691–1693.
Millán-Lou MI et al. 2012. Rapid test for identification of a highly transmissible Mycobacterium tuberculosis Beijing strain of sub-Saharan origin. J Clin Microbiol 50: 516–518.
Stucki D et al. 2015. Tracking a tuberculosis outbreak over 21 years: strain-specific single-nucleotide polymorphism typing combined with targeted whole-genome sequencing. J Infect Dis 211: 1306–1316.
Eldholm V, Monteserin J, Rieux A, Lopez B, Sobkowiak B, Ritacco V, Balloux F, 2015. Four decades of transmission of a multidrug-resistant Mycobacterium tuberculosis outbreak strain. Nat Commun 6: 7119.
Brynildsrud OB et al. 2018. Global expansion of Mycobacterium tuberculosis lineage 4 shaped by colonial migration and local adaptation. Sci Adv 4: eaat5869.
Perez-Lago L, Martinez Lirola M, Herranz M, Comas I, Bouza E, Garcia-de-Viedma D, 2015. Fast and low-cost decentralized surveillance of transmission of tuberculosis based on strain-specific PCRs tailored from whole genome sequencing data: a pilot study. Clin Microbiol Infect 21: 249 e1–249 e9.
Perez-Lago L, Herranz M, Comas I, Ruiz-Serrano MJ, Lopez Roa P, Bouza E, García-de-Viedma D. 2016. Ultrafast assessment of the presence of a high-risk Mycobacterium tuberculosis strain in a population. J Clin Microbiol 54: 779–781.
Perez-Lago L, Martinez-Lirola M, Garcia S, Herranz M, Mokrousov I, Comas I, Martínez-Priego L, Bouza E, García-de-Viedma D, 2016. Urgent implementation in a hospital setting of a strategy to rule out secondary cases caused by imported extensively drug-resistant Mycobacterium tuberculosis strains at diagnosis. J Clin Microbiol 54: 2969–2974.
Oelemann MC, Diel R, Vatin V, Haas W, Rüsch-Gerdes S, Locht C, Niemann S, Supply P, 2007. Assessment of an optimized mycobacterial interspersed repetitive unit-variable number of tandem repeat typing system combined with spoligotyping for population-based molecular epidemiology studies of tuberculosis. J Clin Microbiol 45: 691–697.
Waisman JL, Palmero DJ, Güemes-Gurtubay JL, Videla JJ, Moretti B, Cantero M, Ambroggi MG, Poggi SE, Sancineto AE, Alberti FA, 2006. Evaluation of the control measures adopted against an epidemic of AIDS-related multidrug-resistant tuberculosis in a Latin-American Hospital (Spanish). Enferm Infecc Microbiol Clin 24: 71–76.
Eldholm V, Rieux A, Monteserin J, Montana Lopez J, Palmero D, Lopez B, Ritacco V, Didelot X, Balloux F, 2016. Impact of human immunodeficiency virus co-infection on the evolution and transmission of multidrug-resistant tuberculosis. ELife 5: e16644.
World Health Organization, 2018. WHO Global Tuberculosis Report 2018. Geneva, Switzerland: WHO, Licence: CC BY-NC-SA 3.0 IGO. 1.
Hurtado RM, Meressa D, Goldfeld AE, 2018. Treatment of drug-resistant tuberculosis among people living with HIV. Curr Opin HIV AIDS 13: 478–485.
Alonso M, Herranz M, Martinez Lirola M, Gonzalez-Rivera M, Bouza E, Garcia de Viedma D, 2012. Real-time molecular epidemiology of tuberculosis by direct genotyping of smear-positive clinical specimens. J Clin Microbiol 50: 1755–1757.
Pérez-Lago L et al. 2017. A novel strategy based on genomics and specific PCR reveals how a multidrug-resistant Mycobacterium tuberculosis strain became prevalent in Equatorial Guinea 15 years after its emergence. Clin Microbiol Infect 23: 92–97.
Mambuque ET, Abascal E, Venter R, Bulo H, Bouza E, Theron G, García-Basteiro AL, García-de-Viedma D, 2018. Direct genotyping of Mycobacterium tuberculosis from Xpert® MTB/RIF remnants. Tuberculosis (Edinb) 111: 202–206.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 386 | 279 | 20 |
Full Text Views | 607 | 7 | 0 |
PDF Downloads | 235 | 8 | 0 |