Species identification and drug susceptibility testing of non-tuberculous mycobacteria by Line Probe Assay in Lambaréné, Gabon—a cross-sectional study

Abstract Background Non-tuberculous mycobacteria (NTM) are a group of bacteria that cause rare lung infections and are increasingly recognized as causative agents of opportunistic and device-associated infections in humans. In Gabon, there is a lack of data on NTM species identification and drug sus...

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Main Authors: Micheska Epola Dibamba Ndanga, Jabar Babatundé Pacome Achimi Agbo Abdul, Jean Ronald Edoa, Guy Arnault Rogue Mfoumbi Ibinda, Bayodé Romeo Adegbite, Rhett Chester Mevyann, Christopher Mebiame Biyogho, Jocelyn Mahoumbou, Stredice Manguinga, Nina Mbenga Roguet, Bertrand Lell, Peter Gottfried Kremsner, Abraham Sunday Alabi, Martin Peter Grobusch, Ayola Akim Adegnika
Format: Article
Language:English
Published: BMC 2023-10-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-023-08617-x
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author Micheska Epola Dibamba Ndanga
Jabar Babatundé Pacome Achimi Agbo Abdul
Jean Ronald Edoa
Guy Arnault Rogue Mfoumbi Ibinda
Bayodé Romeo Adegbite
Rhett Chester Mevyann
Christopher Mebiame Biyogho
Jocelyn Mahoumbou
Stredice Manguinga
Nina Mbenga Roguet
Bertrand Lell
Peter Gottfried Kremsner
Abraham Sunday Alabi
Martin Peter Grobusch
Ayola Akim Adegnika
author_facet Micheska Epola Dibamba Ndanga
Jabar Babatundé Pacome Achimi Agbo Abdul
Jean Ronald Edoa
Guy Arnault Rogue Mfoumbi Ibinda
Bayodé Romeo Adegbite
Rhett Chester Mevyann
Christopher Mebiame Biyogho
Jocelyn Mahoumbou
Stredice Manguinga
Nina Mbenga Roguet
Bertrand Lell
Peter Gottfried Kremsner
Abraham Sunday Alabi
Martin Peter Grobusch
Ayola Akim Adegnika
author_sort Micheska Epola Dibamba Ndanga
collection DOAJ
description Abstract Background Non-tuberculous mycobacteria (NTM) are a group of bacteria that cause rare lung infections and are increasingly recognized as causative agents of opportunistic and device-associated infections in humans. In Gabon, there is a lack of data on NTM species identification and drug susceptibility. The aim of this study was to identify the frequency of NTM species and their genotypic susceptibility pattern to commonly used antibiotics for NTM infections in Gabon. Methods A cross-sectional study was conducted at the CERMEL TB laboratory from January 2020 to December 2022, NTM subspecies identification and drug susceptibility testing to macrolides and aminoglycosides were performed using the genotype NTM-DR kit. Results The study found that out of 524 culture-positive specimens, 146 (28%) were NTM, with the predominant group being Mycobacterium avium complex (MAC) and Mycobacterium abscessus complex (MABC). All MAC isolates were fully susceptible to macrolides and aminoglycosides, while five MABC isolates carried mutations indicative of reduced susceptibility to macrolide and aminoglycoside drugs. Conclusions These findings suggest that clinicians may use macrolides and aminoglycosides to manage NTM infections caused by MAC, but further investigation is required to determine MABC drug susceptibility.
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spelling doaj.art-735d3571b1d543ad8e945b350a9349742023-11-19T12:29:40ZengBMCBMC Infectious Diseases1471-23342023-10-012311710.1186/s12879-023-08617-xSpecies identification and drug susceptibility testing of non-tuberculous mycobacteria by Line Probe Assay in Lambaréné, Gabon—a cross-sectional studyMicheska Epola Dibamba Ndanga0Jabar Babatundé Pacome Achimi Agbo Abdul1Jean Ronald Edoa2Guy Arnault Rogue Mfoumbi Ibinda3Bayodé Romeo Adegbite4Rhett Chester Mevyann5Christopher Mebiame Biyogho6Jocelyn Mahoumbou7Stredice Manguinga8Nina Mbenga Roguet9Bertrand Lell10Peter Gottfried Kremsner11Abraham Sunday Alabi12Martin Peter Grobusch13Ayola Akim Adegnika14Centre de Recherches Médicales de Lambaréné (CERMEL)Centre de Recherches Médicales de Lambaréné (CERMEL)Centre de Recherches Médicales de Lambaréné (CERMEL)Centre de Recherches Médicales de Lambaréné (CERMEL)Centre de Recherches Médicales de Lambaréné (CERMEL)Centre de Recherches Médicales de Lambaréné (CERMEL)Centre de Recherches Médicales de Lambaréné (CERMEL)Programme National de Lutte Contre La TuberculoseProgramme National de Lutte Contre La TuberculoseProgramme National de Lutte Contre La TuberculoseCentre de Recherches Médicales de Lambaréné (CERMEL)Centre de Recherches Médicales de Lambaréné (CERMEL)Centre de Recherches Médicales de Lambaréné (CERMEL)Centre de Recherches Médicales de Lambaréné (CERMEL)Centre de Recherches Médicales de Lambaréné (CERMEL)Abstract Background Non-tuberculous mycobacteria (NTM) are a group of bacteria that cause rare lung infections and are increasingly recognized as causative agents of opportunistic and device-associated infections in humans. In Gabon, there is a lack of data on NTM species identification and drug susceptibility. The aim of this study was to identify the frequency of NTM species and their genotypic susceptibility pattern to commonly used antibiotics for NTM infections in Gabon. Methods A cross-sectional study was conducted at the CERMEL TB laboratory from January 2020 to December 2022, NTM subspecies identification and drug susceptibility testing to macrolides and aminoglycosides were performed using the genotype NTM-DR kit. Results The study found that out of 524 culture-positive specimens, 146 (28%) were NTM, with the predominant group being Mycobacterium avium complex (MAC) and Mycobacterium abscessus complex (MABC). All MAC isolates were fully susceptible to macrolides and aminoglycosides, while five MABC isolates carried mutations indicative of reduced susceptibility to macrolide and aminoglycoside drugs. Conclusions These findings suggest that clinicians may use macrolides and aminoglycosides to manage NTM infections caused by MAC, but further investigation is required to determine MABC drug susceptibility.https://doi.org/10.1186/s12879-023-08617-xNon-tuberculous mycobacteria (NTM)Genotypic drug susceptibility testingGenotypic NTM-DRMacrolidesAminoglycosidesGabon
spellingShingle Micheska Epola Dibamba Ndanga
Jabar Babatundé Pacome Achimi Agbo Abdul
Jean Ronald Edoa
Guy Arnault Rogue Mfoumbi Ibinda
Bayodé Romeo Adegbite
Rhett Chester Mevyann
Christopher Mebiame Biyogho
Jocelyn Mahoumbou
Stredice Manguinga
Nina Mbenga Roguet
Bertrand Lell
Peter Gottfried Kremsner
Abraham Sunday Alabi
Martin Peter Grobusch
Ayola Akim Adegnika
Species identification and drug susceptibility testing of non-tuberculous mycobacteria by Line Probe Assay in Lambaréné, Gabon—a cross-sectional study
BMC Infectious Diseases
Non-tuberculous mycobacteria (NTM)
Genotypic drug susceptibility testing
Genotypic NTM-DR
Macrolides
Aminoglycosides
Gabon
title Species identification and drug susceptibility testing of non-tuberculous mycobacteria by Line Probe Assay in Lambaréné, Gabon—a cross-sectional study
title_full Species identification and drug susceptibility testing of non-tuberculous mycobacteria by Line Probe Assay in Lambaréné, Gabon—a cross-sectional study
title_fullStr Species identification and drug susceptibility testing of non-tuberculous mycobacteria by Line Probe Assay in Lambaréné, Gabon—a cross-sectional study
title_full_unstemmed Species identification and drug susceptibility testing of non-tuberculous mycobacteria by Line Probe Assay in Lambaréné, Gabon—a cross-sectional study
title_short Species identification and drug susceptibility testing of non-tuberculous mycobacteria by Line Probe Assay in Lambaréné, Gabon—a cross-sectional study
title_sort species identification and drug susceptibility testing of non tuberculous mycobacteria by line probe assay in lambarene gabon a cross sectional study
topic Non-tuberculous mycobacteria (NTM)
Genotypic drug susceptibility testing
Genotypic NTM-DR
Macrolides
Aminoglycosides
Gabon
url https://doi.org/10.1186/s12879-023-08617-x
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