A surge of MDR and XDR tuberculosis in France among patients born in the Former Soviet Union

C Bernard; F Brossier; W Sougakoff; N Veziris; M Frechet-Jachym; N Metivier; A Renvoisé; J Robert; V Jarlier; collective on behalf of the MDR-TB Management group of the NRC

doi:10.2807/1560-7917.ES2013.18.33.20555

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A surge of MDR and XDR tuberculosis in France among patients born in the Former Soviet Union
C Bernard^1,2,3 , F Brossier^1,2,3 , W Sougakoff^1,2,3 , N Veziris^1,2,3 , M Frechet-Jachym⁴ , N Metivier⁴ , A Renvoisé^1,2,3 , J Robert^1,2,3 , V Jarlier^1,2,3 , collective on behalf of the MDR-TB Management group of the NRC⁵
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Affiliations: ¹ Centre National de Référence des Mycobactéries et de la Résistance des Mycobactéries aux Antituberculeux (National reference centre for mycobacteria and resistance of micobacteria to antituberculous drugs), Paris, France ² UPMC Paris 06 (Pierre and Marie Curie University Paris), ER 5, EA 1541, Laboratoty of Bacteriology and Hygiene, Paris, France ³ Laboratory of Bacteriology and Hygiene, Hôpital Pitié-Salpêtrière, AP-HP, Paris, France ⁴ Medical Centre of Bligny, Briis sous Forges, France ⁵ The members of the team are listed at the end of the article

Correspondence:
C Bernard
christine.bernard psl.aphp.fr
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Citation style for this article: Bernard C, Brossier F, Sougakoff W, Veziris N, Frechet-Jachym M, Metivier N, Renvoisé A, Robert J, Jarlier V, on behalf of the MDR-TB Management group of the NRC collective. A surge of MDR and XDR tuberculosis in France among patients born in the Former Soviet Union. Euro Surveill. 2013;18(33):pii=20555. https://doi.org/10.2807/1560-7917.ES2013.18.33.20555 Received: 12 Aug 2013

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Abstract

A marked increase in the number of multidrug-resistant (MDR) tuberculosis (TB) cases entirely related to patients born in the Former Soviet Union was observed in France in the last two years. Very few cases were clustered, suggesting it is a consequence of recent immigration of patients already infected in their country of origin. This major increase challenges the existing structures for management of MDR and extensively drug-resistant TB (XDR-TB).