Research Article

Prevalence and Molecular Characterization of Second-Line Drugs Resistance among Multidrug-Resistant Mycobacterium tuberculosis Isolates in Southwest of China

Table 2

Risk factors of second-line drug resistance among 156  isolates.

CharacteristicsNumber (%) of isolates ()Number (%) of isolatesOR (95% CI)

Sex
 Female35 (22.4)21 (25.9)14 (18.6)
 Male121 (77.6)60 (74.1)61 (81.3)1.356 (0.635–2.894)0.431
Age
2929 (18.6)17 (21.0)12 (16.0)
 30~3933 (21.2)19 (23.5)14 (18.7)1.044 (0.380–2.870)0.934
 40~4940 (25.6)19 (23.5)21 (28.0)1.566 (0.597–4.110)0.361
 50~5925 (16.0)16 (19.8)9 (12.0)0.797 (0.265–2.397)0.686
 60~6921 (13.5)5 (6.2)16 (21.3)4.533 (1.303–15.772)0.014
 ≧708 (5.1)5 (6.2)3 (4.0)0.850 (0.170–4.256)
District
 Urban79 (50.6)36 (44.4)43 (57.3)
 Suburb77 (49.4)45 (55.6)32 (42.7)0.595 (0.316–1.122)0.108
Treatment history
 Previously treated failure 18 (11.5)6 (7.4)12 (16.0)
 Previously treated 30 (19.2)18 (22.2)12 (16.0)0.333 (0.098–1.132)0.074
 Retreatment failure 23 (14.7)15 (18.5)8 (10.7)0.267 (0.072–0.9814)0.043
 Retreatment 85 (54.5)42 (51.9)43 (57.3)0.512 (0.176–1.490)0.214

is defined as Mycobacterium tuberculosis strain resistant to at least isoniazid and rifampin. isolate strain is resistant to one of the second-line drugs as follows: OFX, KAN, AMK, CAP, PTO, or PAS; isolate strain is susceptible to all of the second-line drugs as follows: OFX, KAN, AMK, CAP, PTO, and PAS. Previously treated failure cases, still sputum smear-positive after the whole treatment (6 months) or treatment for 5 months. Previously treated cases, still sputum smear-positive at the end of 3-month treatment. Retreatment failure case, still sputum smear-positive after the whole treatment (9 months) or treatment for 5 months. Retreatment cases, who were once cured but relapsed or were treated more than 1 month but treatment interruption was longer than 2 months; now accept treatment again; value from Fisher’s exact test.