The main causes which leads to secondary chemoresistance
C. M. Pop, M. A. Man, M. A. Goron, C. D. Zamora, D. Homorodean (Cluj-Napoca, Romania)
Source: Annual Congress 2002 - Drug resistance
Session: Drug resistance
Session type: Poster Discussion
Number: 3841
Disease area: Respiratory infections
Abstract The incidence of lung tuberculosis is of 143/100.000, in Romania, and the cases of lung tuberculosis with positive Mycobaterium tuberculosis elimination resulted from new cases and relapses. Moreover, in our country, secondary chemoresistance is begining to reach worried procents. We have studied 100 chonically patients with tuberculosis, who had secondary chemoresistance , which were hosted in Pneumophisiology Clinic, Cluj-Napoca, Romania, during 1999-2000. We have analyzed the weight on genders (68% males), the repartition on age ( a group of 21-30 years-21% and a goup of 41-50 years-31%), their kind of work (41%-not woking, 24%-pensioners, 22%-workers), the use of noxes (40 cases-smokers, 30 cases alcohol users); associate diseases, medication-individualized therapeutical schema, intolerance, and the level of secondary chemoresistance: 60%-monoresistance, 29%-biresistance, 13%-multi drug resistance. Using this information, we have established the main reasons of the therapeutical failure which leads to secondary chemoresistence: non-compliance and associated pathology. At the end of the treatment we found: 1% cured patients, 3% with negative sputum, 65% still remains with positive M.t elimination and 31% were died.
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C. M. Pop, M. A. Man, M. A. Goron, C. D. Zamora, D. Homorodean (Cluj-Napoca, Romania). The main causes which leads to secondary chemoresistance. Eur Respir J 2002; 20: Suppl. 38, 3841
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