Transmission as a Key Driver of Resistance to the New Tuberculosis Drugs
Abstract
Resistance to newly endorsed multidrug-resistant tuberculosis (MDR-TB) treatments is already emerging globally. Using whole-genome sequencing data, researchers identified highly drug-resistant Mycobacterium tuberculosis strains from Georgia and other countries. Approximately one-quarter of these strains were involved in patient-to-patient transmission clusters, suggesting transmission plays a significant role in the spread of resistance. These findings underscore the urgent need to enhance diagnostic capacity, infection control, and surveillance to preserve the efficacy of new tuberculosis treatments