ArticleFrontiers in public health2026
Fluoroquinolone resistance and mutation profiles in
Article in Frontiers in public health, 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
Objective: This study aimed to characterize fluoroquinolone (FQs) resistance and associated gene mutations in Methods: A retrospective analysis was performed on 150 clinical MTB isolates collected from drug resistance surveillance sites. Phenotypic drug susceptibility testing (pDST) for FQs was conducted using the proportion method on solid Löwenstein-Jensen (L-J) media. In parallel, whole-genome sequencing (WGS) was applied to identify resistance-associated gene mutations. Results: The overall phenotypic resistance rate to FQs was 12.7%, increasing markedly to 26.7% among multidrug-resistant (MDR) strains. The isolates were mainly classified into lineage L2 (60.0%) and L4 (38.7%), with no statistically significant association observed between lineage distribution and drug resistance profiles. Mutations linked to FQs resistance were predominantly identified in the Conclusion: FQs resistance among MTB isolates in this study is considerable, with a particularly high burden in MDR strains. Resistance is mainly driven by single-point mutations in the
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