Research Article

Resistance to Second-Line Antituberculosis Drugs and Delay in Drug Susceptibility Testing among Multidrug-Resistant Tuberculosis Patients in Shanghai

Table 2

Diagnostic delays among MDR-TB patients, by history of tuberculosis and drug resistance pattern.

VariablesTotal delay in DST Delay in TB diagnosisHealth system delay in DST
MedianIQRMedianIQRMedianIQR

All patients13688–2353319–569250–192

History of tuberculosis treatment
 Newly diagnosed12390–1753217.5–51.584.563.5–120
 Relapsed12380–1953218–598341–133
 Chronic420.5110.5–873.53320.5–5429747.5–821.5
value<0.0010.76<0.001

Drug resistance pattern
 Resistant to FLDs only11586–1753418–618242–115
 Resistant to FLDs and Ofx173.590–440.537.518.5–64.511137.5–339.5
 Resistant to FLDs and injectable 149124–356.52820–50.511390.5–247.5
 XDR-TB14881–2212518–4110458–191
value0.0080.20 0.02

DST, drug susceptibility testing; IQR, inter quarter range; FLDs, first-line drugs; Ofx, ofloxacin; XDR-TB, extensively drug-resistant tuberculosis.
value: Kruskal-Wallis test.
The duration from onset of TB symptoms in the most recent disease episode to the date of reporting DST results.
The duration from TB diagnosis to the date of reporting DST results.
Including amikacin, kanamycin, and capreomycin.