XDR TB

Aug. 21, 2019

In a groundbreaking development recently, the United States FDA approved a three-drug regimen against the most lethal form of multi-drug-resistant tuberculosis, known as the XDR strain.

About:

  • Full Name: XDR-TB is an abbreviation for extensively drug-resistant tuberculosis (TB).

  • What is it? XDR-TB is a form of TB which is resistant to at least four of the core anti-TB drugs.
    • XDR-TB involves resistance to the two most powerful anti-TB drugs, isoniazid and rifampicin, also known as multidrug-resistance (MDR-TB).

    • In addition, it involves resistance to any of the fluoroquinolones (such as levofloxacin or moxifloxacin) and to at least one of the three injectable second-line drugs (amikacin, capreomycin or kanamycin).



  • How do people get XDR-TB? XDR can be contracted in two ways. It may develop in a patient who is already receiving treatment for TB and misuses the anti-TB drugs, or it can be contracted from a person who already has the disease.

  • Prevalence:
    • According to a WHO report, cases of XDR TB are much fewer than those of the MDR/RR TB, and have been reported from 117 countries until 2017.

    • Out of 10,800 cases worldwide, India accounted for 2,650 cases, or almost one-fourth.



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