ArticleFrontiers in microbiology2026
Clinical characteristics, drug resistance profiles, and inflammatory cytokine signatures in newly treated versus retreated MDR/RR-TB patients: associations with treatment outcomes.
Article in Frontiers in microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Multidrug-resistant/rifampicin-resistant tuberculosis (MDR/RR-TB) poses a significant threat to global tuberculosis control. Understanding drug resistance profiles, immune signatures, and their associations with treatment outcomes is critical. Methods: A total of 395 MDR/RR-TB patients were enrolled. Baseline characteristics, minimum inhibitory concentrations (MICs) for multiple anti-TB drugs, plasma inflammatory cytokine levels, and treatment outcomes were analyzed. Results: The cohort was predominantly male (69.6%), with a median age of 40 years. Pre-extensively drug-resistant (Pre-XDR-TB) accounted for 48.4%, and treatment success rate was 66.8%. Retreated patients showed significantly higher MICs for ethambutol, isoniazid, rifampicin, moxifloxacin, ofloxacin, and streptomycin (all Conclusion: In MDR/RR-TB patients, elevated ethambutol and isoniazid MICs were associated with treatment failure after multivariable adjustment; however, these associations were not significant after multiple comparisons correction. The potential prognostic value of quantitative MIC testing for these drugs remains to be established in future adequately powered studies.
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