Beijing Strains Responsible for Spread of Russian Drug- Resistant Infections CDC Daily UpdateImportant note: Information in this article was accurate in 2002. The state of the art may have changed since the publication date.

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Beijing Strains Responsible for Spread of Russian Drug- Resistant Infections

TB & Outbreaks Week (08.27.02) - Thursday, September 12, 2002
Michael Greer


Researchers have elucidated the epidemiology of drug-resistant pulmonary tuberculosis strains in Russia's hard-hit Archangel Oblast region. Olga S. Toungoussova and colleagues at University of Oslo, the Norwegian Institute of Public Health in Oslo, Northern State Medical University in Archangel Oblast, Russia, and the Archangel Regional Tuberculosis Dispensary studied drug-resistant TB strains in Archangel patients over a 2-year period.

The researchers examined 119 TB strains taken from patients. Analysis through spoligotyping and restriction fragment-length polymorphism (RFLP) revealed that over 40 percent of these strains belonged to the Beijing Mycobacterium tuberculosis genotype and that this strain is responsible for a high proportion of resistant TB cases in the Archangel Oblast.

Over 40 percent of the Beijing TB strains were drug-resistant, compared with about 10 percent of the non-Beijing strains, study data showed. In fact, Beijing TB strains were roughly four times as likely to be drug-resistant as non-Beijing strains. Over 90 percent of the Beijing isolates were part of a TB cluster, while clusters were identified for only a third of non-Beijing strains.

The researchers found that alcohol abusers and patients with chronic obstructive pulmonary disorders prior to infection were significantly more likely to carry Beijing TB strains. "Our study demonstrated that strains of the Beijing genotype are an important cause of tuberculosis in the Archangel Oblast," Toungoussova and colleagues concluded, "and that dissemination of these strains is associated with the high incidence of drug resistance."

The study, "Spread Of Drug-Resistant Mycobacterium Tuberculosis Strains of the Beijing Genotype in the Archangel Oblast, Russia," appears in the Journal of Clinical Microbiology (2002;40(6):1930-1937).
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