Le SIDA au Ghana (serveur d'exploration)

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Molecular epidemiology of Mycobacterium africanum in Ghana.

Identifieur interne : 000161 ( PubMed/Corpus ); précédent : 000160; suivant : 000162

Molecular epidemiology of Mycobacterium africanum in Ghana.

Auteurs : Adwoa Asante-Poku ; Isaac Darko Otchere ; Stephen Osei-Wusu ; Esther Sarpong ; Akosua Baddoo ; Audrey Forson ; Clement Laryea ; Sonia Borrell ; Frank Bonsu ; Jan Hattendorf ; Collins Ahorlu ; Kwadwo A. Koram ; Sebastien Gagneux ; Dorothy Yeboah-Manu

Source :

RBID : pubmed:27506391

English descriptors

Abstract

Mycobacterium africanum comprises two phylogenetic lineages within the M. tuberculosis complex (MTBC) and is an important cause of human tuberculosis (TB) in West Africa. The reasons for this geographic restriction of M. africanum remain unclear. Here, we performed a prospective study to explore associations between the characteristics of TB patients and the MTBC lineages circulating in Ghana.

DOI: 10.1186/s12879-016-1725-6
PubMed: 27506391

Links to Exploration step

pubmed:27506391

Le document en format XML

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<front>
<div type="abstract" xml:lang="en">Mycobacterium africanum comprises two phylogenetic lineages within the M. tuberculosis complex (MTBC) and is an important cause of human tuberculosis (TB) in West Africa. The reasons for this geographic restriction of M. africanum remain unclear. Here, we performed a prospective study to explore associations between the characteristics of TB patients and the MTBC lineages circulating in Ghana.</div>
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<Year>2016</Year>
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<Day>09</Day>
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<Title>BMC infectious diseases</Title>
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<ArticleTitle>Molecular epidemiology of Mycobacterium africanum in Ghana.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Mycobacterium africanum comprises two phylogenetic lineages within the M. tuberculosis complex (MTBC) and is an important cause of human tuberculosis (TB) in West Africa. The reasons for this geographic restriction of M. africanum remain unclear. Here, we performed a prospective study to explore associations between the characteristics of TB patients and the MTBC lineages circulating in Ghana.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">We genotyped 1,211 MTBC isolates recovered from pulmonary TB patients recruited between 2012 and 2014 using single nucleotide polymorphism typing and spoligotyping. Associations between patient and pathogen variables were assessed using univariate and multivariate logistic regression.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 1,211 MTBC isolates analysed, 71.9 % (871) belonged to Lineage 4; 12.6 % (152) to Lineage 5 (also known as M. africanum West-Africa 1), 9.2 % (112) to Lineage 6 (also known as M. africanum West-Africa 2) and 0.6 % (7) to Mycobacterium bovis. Univariate analysis revealed that Lineage 6 strains were less likely to be isoniazid resistant compared to other strains (odds ratio = 0.25, 95 % confidence interval (CI): 0.05-0.77, P < 0.01). Multivariate analysis showed that Lineage 5 was significantly more common in patients from the Ewe ethnic group (adjusted odds ratio (adjOR): 2.79; 95 % CI: 1.47-5.29, P < 0.001) and Lineage 6 more likely to be found among HIV-co-infected TB patients (adjOR = 2.2; 95 % confidence interval (CI: 1.32-3.7, P < 0.001).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our findings confirm the importance of M. africanum in Ghana and highlight the need to differentiate between Lineage 5 and Lineage 6, as these lineages differ in associated patient variables.</AbstractText>
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<Affiliation>Department of Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Basel, Switzerland.</Affiliation>
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<Affiliation>Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.</Affiliation>
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<Affiliation>Department of Medical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Basel, Switzerland.</Affiliation>
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<AffiliationInfo>
<Affiliation>University of Basel, Basel, Switzerland.</Affiliation>
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<MeshHeading>
<DescriptorName UI="D017088" MajorTopicYN="N">AIDS-Related Opportunistic Infections</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName>
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