Molecular typing of drug-resistant Mycobacterium tuberculosis strains from Turkey

Objectives: Appropriate antibiotic therapy and prevention of cross-contamination are the most important subjects in tuberculosis (TB) control. The aim of this study was to investigate the major phylogenetic clades and transmission rate of multidrug-resistant (MDR) Mycobacterium tuberculosis isolates...

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Main Authors: Alper Karagoz, Hidayet Tutun, Levent Altintas, Umit Alanbayi, Dilara Yildirim, Nadir Kocak
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Journal of Global Antimicrobial Resistance
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213716520302186
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author Alper Karagoz
Hidayet Tutun
Levent Altintas
Umit Alanbayi
Dilara Yildirim
Nadir Kocak
author_facet Alper Karagoz
Hidayet Tutun
Levent Altintas
Umit Alanbayi
Dilara Yildirim
Nadir Kocak
author_sort Alper Karagoz
collection DOAJ
description Objectives: Appropriate antibiotic therapy and prevention of cross-contamination are the most important subjects in tuberculosis (TB) control. The aim of this study was to investigate the major phylogenetic clades and transmission rate of multidrug-resistant (MDR) Mycobacterium tuberculosis isolates (n = 200) from patients with TB in Sivas and Konya Provinces of Turkey. Methods: The phylogenetic relationship among the isolates was investigated by spoligotyping method. In addition, the 24-locus mycobacterial interspersed repetitive unit–variable-number tandem repeat (MIRU-VNTR) typing method was used to reveal cross-contamination. Results: Spoligotyping revealed 13 different spoligotypes. A total of 188 strains (94.0%) were included in the cluster. The most prominent spoligofamily was the T family (43.0% of strains), followed by LAM (26.0%), H (8.0%), X and S (both 6.0%) and U (5.0%). Also, 12 strains (6.0%) belonged to the Beijing profile. MIRU-VNTR results showed 176 (88.0%) different genotypes among the isolates. In total, 24 strains (12.0%) were in the cluster. Conclusions: According to spoligotyping, there is a heterogeneous M. tuberculosis population in Turkey. MIRU-VNTR results showed that cross-contamination observed between MDR M. tuberculosis isolates in Turkey is controllable.
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spelling doaj.art-d3aee9db06dc41c6be444f2a16bbdbf52022-12-21T19:57:53ZengElsevierJournal of Global Antimicrobial Resistance2213-71652020-12-0123130134Molecular typing of drug-resistant Mycobacterium tuberculosis strains from TurkeyAlper Karagoz0Hidayet Tutun1Levent Altintas2Umit Alanbayi3Dilara Yildirim4Nadir Kocak5Department of Molecular Biology and Genetics, Uşak University, Uşak, TurkeyDepartment of Pharmacology and Toxicology, Faculty of Veterinary Medicine, Burdur Mehmet Akif Ersoy University, Burdur, TurkeyDepartment of Pharmacology and Toxicology, Faculty of Veterinary Medicine, Ankara University, 06110 Diskapi, Ankara, Turkey; Corresponding author.Microbiology Laboratory, Sivas Numune Hospital, Sivas, TurkeyMicrobiology Laboratory, Sivas Numune Hospital, Sivas, TurkeyFaculty of Medicine, Medical Genetics, Selçuk University, Konya, TurkeyObjectives: Appropriate antibiotic therapy and prevention of cross-contamination are the most important subjects in tuberculosis (TB) control. The aim of this study was to investigate the major phylogenetic clades and transmission rate of multidrug-resistant (MDR) Mycobacterium tuberculosis isolates (n = 200) from patients with TB in Sivas and Konya Provinces of Turkey. Methods: The phylogenetic relationship among the isolates was investigated by spoligotyping method. In addition, the 24-locus mycobacterial interspersed repetitive unit–variable-number tandem repeat (MIRU-VNTR) typing method was used to reveal cross-contamination. Results: Spoligotyping revealed 13 different spoligotypes. A total of 188 strains (94.0%) were included in the cluster. The most prominent spoligofamily was the T family (43.0% of strains), followed by LAM (26.0%), H (8.0%), X and S (both 6.0%) and U (5.0%). Also, 12 strains (6.0%) belonged to the Beijing profile. MIRU-VNTR results showed 176 (88.0%) different genotypes among the isolates. In total, 24 strains (12.0%) were in the cluster. Conclusions: According to spoligotyping, there is a heterogeneous M. tuberculosis population in Turkey. MIRU-VNTR results showed that cross-contamination observed between MDR M. tuberculosis isolates in Turkey is controllable.http://www.sciencedirect.com/science/article/pii/S2213716520302186Drug resistanceGenetic diversityMIRU-VNTRMycobacterium tuberculosisSpoligotypingTurkey
spellingShingle Alper Karagoz
Hidayet Tutun
Levent Altintas
Umit Alanbayi
Dilara Yildirim
Nadir Kocak
Molecular typing of drug-resistant Mycobacterium tuberculosis strains from Turkey
Journal of Global Antimicrobial Resistance
Drug resistance
Genetic diversity
MIRU-VNTR
Mycobacterium tuberculosis
Spoligotyping
Turkey
title Molecular typing of drug-resistant Mycobacterium tuberculosis strains from Turkey
title_full Molecular typing of drug-resistant Mycobacterium tuberculosis strains from Turkey
title_fullStr Molecular typing of drug-resistant Mycobacterium tuberculosis strains from Turkey
title_full_unstemmed Molecular typing of drug-resistant Mycobacterium tuberculosis strains from Turkey
title_short Molecular typing of drug-resistant Mycobacterium tuberculosis strains from Turkey
title_sort molecular typing of drug resistant mycobacterium tuberculosis strains from turkey
topic Drug resistance
Genetic diversity
MIRU-VNTR
Mycobacterium tuberculosis
Spoligotyping
Turkey
url http://www.sciencedirect.com/science/article/pii/S2213716520302186
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