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  Vol. 293 No. 22, June 8, 2005 TABLE OF CONTENTS
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Multidrug-Resistant Tuberculosis

News From the Front

Mary D. Nettleman, MD, MS

JAMA. 2005;293:2788-2790.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

During the past decade, multidrug-resistant tuberculosis (MDR-TB), defined as resistance to at least isoniazid and rifampin, has declined in the United States.1 The number of reported MDR-TB cases has decreased from 486 in 1993 to 114 in 2003, and the proportion of resistant strains of Mycobacterium tuberculosis has decreased by half.1 The decline is heartening but this issue of JAMA includes 2 reports from California and Russia showing why celebration would be premature.2-3

In this issue of JAMA, Granich and colleagues2 show that California has not shared in the proportionate decline of resistant strains. From 1994 to 2003, the authors analyzed the sensitivity of 28 712 culture-positive cases of TB and identified 407 MDR-TB cases. Although the absolute number of MDR-TB cases per year decreased during the 10-year period, the number of sensitive cases also declined, leading to stable proportions of resistance. Matching several databases, . . . [Full Text of this Article]

Author Affiliation: Department of Medicine, Michigan State University, East Lansing.



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