Molecular epidemiology of multidrug-resistant tuberculosis, New York City, 1995-1997

Sonal S. Munsiff, Trina Bassoff, Beth Nivin, Jiehui Li, Anu Sharma, Pablo Bifani, Barun Mathema, Jeffrey Driscoll, Barry N. Kreiswirth

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

From January 1, 1995, to December 31, 1997, we reviewed records of all New York City patients who had multidrug-resistant tuberculosis (MDRTB); we performed insertion sequence (IS) 6110-based DNA genotyping on the isolates. Secondary genotyping was performed for low IS6110 copy band strains. Patients with identical DNA pattern strains were considered clustered. From 1995 through 1997, MDRTB was diagnosed in 241 patients; 217 (90%) had no prior treatment history, and 166 (68.9%) were born in the United States or Puerto Rico. Compared with non-MDRTB patients, MDRTB patients were more likely to be born in the United States, have HIV infection, and work in health care. Genotyping results were available for 234 patients; 153 (65.4%) were clustered, 126 (82.3%) of them in eight clusters of ≥4 patients. Epidemiologic links were identified for 30 (12.8%) patients; most had been exposed to patients diagnosed before the study period. These strains were likely transmitted in the early 1990s when MDRTB outbreaks and tuberculosis transmission were widespread in New York.

Original languageEnglish (US)
Pages (from-to)1230-1238
Number of pages9
JournalEmerging Infectious Diseases
Volume8
Issue number11
DOIs
StatePublished - Nov 1 2002
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Microbiology (medical)
  • Infectious Diseases

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