From: Molecular epidemiology of drug resistant Mycobacterium tuberculosis in Africa: a systematic review
Country | Region (No. of DR samples/total in study) | DST phenotype (% of isolates) | HIV/TB coinfection in DR-TB cases % | Genotype (%) | Genotyping method | Ref. |
---|---|---|---|---|---|---|
Angola | Luanda (22/89) | MDR-TB (13.5%) mono-resistant TB (55%), poly-resistant (31.5%) | Reported, but not specified for DR cases. | LAM1 (36%), T1 (23.5%), LAM9 (18%), LAM2 (9%), LAM6 (4.5%), T2 (4.5%), orphan (4.5%) | MIRU-VNTR, Spoligotyping | [17] |
Benin | Countrywide (40/100) | Pre-XDR-TB (5%), MDR-TB (25%), S mono resistant-TB (35%), poly-resistant-TB (22.5%), other mono-resistant TB (12.5%) | Reported, but not specified for DR cases | L1 (3%), L2 (22.5%), L3 (3%), L4 (55%), L5 (13%), M. bovis (3%) | Spoligotyping | |
Cotonou (17/194) | S mono resistant (100%) | 35% | Beijing (100%) | MIRU-VNTR | ||
Burkina Faso | Ouagadougou (3/58) | MDR-TB (33%), mono-resistant TB (67%) | 33% | T (67%), Haarlem (33%) | MIRU-VNTR, Spoligotyping | [20] |
CAR | Bangui (53/318) | MDR-TB (100%) | 26% | T (47%), proportion of Cameroon, H, EAI not specified | Spoligotyping | [21] |
Cameroon | Adamaoua (35/437) | MDR (16%), mono-(71%) & poly-resistant (13%) | Reported, but not specified for DR cases | Cameroon (68.5%), T1 (17%), U (8.5%), H (3%), T2 (3%) | MIRU-VNTR, Spoligotyping | [22] |
Chad | Countrywide | MDR-TB (19%) mono-resistant TB (81%) | Not reported | T (5%), Cameroon (60%), H (25%), X (4%), EAI (2%), S (2%), undefined (2%) | MIRU-VNTR, Spoligotyping | [23] |
N’djamena (13/33) | Mono-resistant TB (77%), poly-resistant TB (23%) | Not reported | T (46%), H (31%), H37Rv (8%), EAI (8%), Orphan (7%) | Spoligotyping | [24] | |
Congo Brazzaville | Brazzavile & Pointe Noire (21/46) | MDR-TB (71%), I mono-resistant (19%), S mono- resistant (5%), IS poly resistant TB (5%) | Not reported | T (67%), Beijing (20%), LAM (13%) | DNA sequencing, MIRU-VNTR | [25] |
Djibouti | Countrywide (15/435) | MDR-TB | Not reported | Beijing (73%), T (27%) | MLVA, Spoligotyping, WGS | [26] |
Djibouti city (29/32) | XDR-TB (14%), MDR-TB (79%), mono-resistant TB (7%) | Not reported | CAS (24%), LAM (21%), Orphan (21%), EAI (17%), T (10%), Beijing (3.5%), X (3.5%) | IS6110-RFLP, MIRU-VNTR, Spoligotyping | [27] | |
Egypt | Countrywide (16/67) | Mono-resistant TB (69%), poly-resistant TB (31%) | Not reported | T, LAM, M. bovis, CAS, S, undefined | IS6110-RFLP, Spoligotyping | [28] |
Assiut (11/25) | MDR-TB (100%) | Not reported | Not defined | IS6110-RFLP | [29] | |
Ethiopia | North-West (116/244) | MDR-TB (10%), mono- & poly- resistant TB (90%), | Reported, but not specified for DR cases | H (32%), T3_ETH (32%), CAS (28%), TUR (2.5%), H37Rv like (2.5%), X (1.5%), Orphan (1.5%) | MIRU-VNTR, Spoligotyping | [30] |
Butajura (95/106) | aPoly- (98%), mono-resistant TB (2%) | Reported, but not specified for DR cases | Haarlem (37%), other unspecified | MLPA | [31] | |
Jimma (1/15) | I mono resistant (100%) | Reported, but not specified for DR case | T3_ETH | Spoligotyping, DNA sequencing | [32] | |
Oromia, SNNRPS, Harari | MDR-TB (15%), mono- & poly-resistant TB (85%) | Not reported | Ethiopia_3 (34%), Lineage 7 (22%), CAS (11%), EA (11%), H37Rv like (7%), H (7%), X (4%), EAI (4%) | Spoligotyping | [33] | |
Ghana | South-west, Southern and Northern Ghana (71/130) | MDR-TB (6%), mono- & poly-resistant TB (94%) | Not reported | Cameroon (47%), MAF (22%), undefined (31%) | DNA sequencing, IS6110-RFLP, Spoligotyping | |
Guinea | Conakry (154/359) | MDR-TB (6%), mono- (41%), poly-resistant TB (53%) | Not reported | T (35%), H (20%), CAS (25%), Beijing (10%), S (5%), Orphan (5%) | Spoligotyping | [37] |
Kenya | Nairobi (33/73) | MDR-TB (45.5%), poly- (15%), mono-resistant TB (39%) | Not reported | CAS (45.5%), Orphan (30.5%), S (9%), Beijing (6%), LAM (6%), T (3%) | DNA sequencing, Spoligotyping | |
North-Eastern | MDR-TB (14.5%), Mono- (73%), poly resistant TB (12.5%) | Not reported | Not defined | IS6110-RFLP, Spoligotyping | ||
Malawi | Karonga district (116/16870 | I resistant (100%) | Reported, but not specified for DR cases | L1 (17%), L3 (18%), L4 (65%) | WGS | [40] |
Mali | Bamako (3/20) | XDR (100%) | 50% | L4 (100%) | MIRU-VNTR, Spoligotyping | [10] |
Bamako (45/126) | MDR-TB (71%), mono- & poly-resistant (29%) | Reported, but not specified for DR cases | T (64%), MAF2 (11%), LAM (5%), H (5%), EAI (4%), M. bovis (3.5%), Beijing (3.5%), other (2%) | Spoligotyping | [41] | |
Morocco | Casablanca (53/147) | MDR-TB (56%), mono-resistant TB (22%) & poly-resistant (22%) | Not reported | EAI, LAM, H, Beijing, other | MIRU-VNTR | [42] |
Countrywide (19/198) | MDR-TB (37%), Mono- (7%), poly resistant (56%) | Not reported | LAM9 (42%), H (22%), other (21%), Beijing (5%), T (5%), U (5%) | MIRU-VNTR, Spoligotyping | [43] | |
Mozambique | Countrywide (1/543) | 1 MDR-TB case | 1 HIV positive case | Beijing | IS6110-RFLP, MIRU-VNTR, Spoligotyping | [44] |
Nigeria | Cross river state (6/58) | 6 MDR-TB cases | 33% | LAM10-CAM (83%), T/orphan (17%) | MIRU-VNTR, Spoligotyping | [45] |
Ibadan, Nnewi and Abuja, South-West (29/407) | MDR-TB (76%), mono- & poly-resistant (24%) | Not reported | Cameroon (79%), T (10%), MAF (5%), LAM (3%), U (3%) | MIRU-VNTR, Spoligotyping | [46] | |
South-West (36/63) | Pre-XDR- (14%), MDR-TB (86%) | 25% | Cameroon (47%), MAF (14%), Ghana (8%), H (8%), LAM (6%), Uganda (6%), H37Rv (6%), X (6%), Orphan (6%) | WGS | [47] | |
Rwanda | Countrywide (67/151) | MDR-TB (96%), mono-resistant TB (4%) | 48% | T2 (72%), Undefined (28%) | RD analysis, Spoligotyping | [48] |
Sierra Leone | Western area & kenema district (50/97) | MDR-TB (22%), mono- (48%), poly-resistant TB (30%) | Not reported | Sierra Leone1/2 (26%), LAM (16%), H (16%), MAF (14%), Beijing (8%), S (8%) | IS6110-RFLP, MIRU-VNTR, Spoligotyping | [49] |
South Africa | Eastern Cape (342/651) | XDR-TB (25%) | Not reported | Beijing (93%), LAM (3%), MANU (3%), S (1%) | DNA sequencing, IS6110-RFLP, Spoligotyping | |
Pre- XDR TB (31%) | Not reported | Beijing (92%), LAM (6%), H (1%), Orphan (1%) | ||||
MDR-TB (44%) | Not reported | Beijing (39%), LAM (30%), T (12%), S (5%), X (2%), H (1%), U (1%), Orphan (10%) | ||||
Gauteng (672/984) | XDR-TB (9%) | Not reported | Beijing (45%), LAM (41%), T (5%), H (5%), EAI (2%), X (2%) | MIRU-VNTR, Spoligotyping | ||
Pre-XDR-TB (5%) | Not reported | LAM (41%), Beijing (27%), H (14%), EAI (14%), S (4%) | ||||
MDR-TB (73%) | LAM (29%), S (15%), T (14%), H (13%), EAI (12%), Beijing (11%), X (6%) | |||||
Mono-resistant TB (13%) | Beijing (37%), S (20%), T (16%), EAI (10%), LAM (8%), X (5%), H (4%) | |||||
KZN (1051/1139) | XDR-TB & Pre-XDR-TB (30) | 88% | LAM4 (F15/LAM/KZN) (44%), X (20%), Beijing (11%), EAI (9%), T (6%), LAM3 (3%), S (3%) | DNA sequencing, IS6110-RFLP, Spoligotyping, WGS | ||
MDR-TB (56%) | LAM4 (F15/LAM/KZN) (40%), S (35%), T (10%), Beijing (6%), CAS (2%), EAI (2%) | |||||
Mono- & poly- resistant (14%) | LAM (35%), Beijing (30%), T (16%), EAI (8%), X (7%), S (2%), CAS (2%) | |||||
Limpopo (20/336) | XDR-TB (10%) | Not reported | LAM4 (50%), X1 (50%) | MIRU-VNTR, Spoligotyping | [52] | |
Pre-XDR (5%) | Orphan | |||||
MDR-TB (85%) | Beijing (35%), LAM (18%), EAI1_SOM (12%), S (12%), Orphan (11%), X (6%), T (6%) | |||||
Mpumalanga (235/336) | XDR-TB (9%) | Not reported | Beijing (29%), EAI (24%), T (14%), S (10%), X (10%), LAM9 (5%), LAM11 (5%), H (3%) | MIRU-VNTR, Spoligotyping | [52] | |
Pre-XDR (10%) | EAI (22%), T (18%), Beijing (13%), LAM11 (9%), X (9%), S (4%), LAM9 (4%), LAM4 (4%), H (4%), Orphan (13%) | |||||
MDR-TB (81%) | EAI (22%), T (20%), Beijing (16%), S (11%), H (5%), LAM9 (5%), LAM11 (3%), LAM3 (3%), X (4%), MANU (2%), LAM4 (1%), Orphan (8%) | |||||
North-West (31/336) | XDR-TB (3%) | Not reported | EAI | MIRU-VNTR, Spoligotyping | [52] | |
Pre-XDR (10%) | EAI1_SOM (67%), Orphan (33%) | |||||
MDR-TB (87%) | Beijing (37%), T (19%), S (11%), EAI1_SOM (7%), LAM3 (7%), LAM11 (7%), Orphan (18%) | |||||
Western Cape (611/1682) | XDR-TB (9%) | 18% | Beijing (45%), LAM (27%), H (8%), X (6%), other (14%) | DNA sequencing, IS6110-RFLP, Spoligotyping | ||
Pre- XDR-TB (5%) | ||||||
MDR-TB (35%) | ||||||
Mono- & poly-resistant TB (51%) | ||||||
Sudan | Omdurman, Khartoum & Port Sudan (108/235) | MDR-TB (24%), mono resistant TB (76%) | Not reported | CAS1(49%), Beijing (2%), undefined (49%) | MIRU-VNTR, Spoligotyping | [63] |
Tanzania | Chagga and Masai tribes (12/111) | MDR-TB (25%), mono- (67%) & poly-resistant TB (8%) | 42% | LAM (42%), CAS (17%), T (17%), EAI (8%), MANU (8%), orphan (8%) | Spoligotyping | [64] |
Tunisia | Bizerte 21 | 21 MDR-TB cases | 0% | Haarlem3 (95%), undefined (5%) | MIRU-VNTR, Spoligotyping, PCR typing | [65] |
Uganda | Mubende district (13/67) | MDR-TB (15%), mono- (69%), poly-resistant TB (16%) | Reported, but not specified for DR case | T (38%), CAS (23%), U (8%), LAM (8%), undefined (23%) | MIRU-VNTR, Spoligotyping, RD analysis | [66] |
Mbabara district (20/125) | MDR-TB (10%), mono- (40%), poly-resistant TB (50%) | Reported, but not specified for DR case | Uganda (45%), CAS (25%), LAM (20%), undefined (10%) | Spoligotyping, RD analysis | [67] | |
Kampala district (75/497) | MDR-TB (16%), mono- & poly-resistant TB (84%) | Reported, but not specified for DR case | T (27%), T2-Uganda (18%), CAS (20%), LAM (15%), orphan (12%), undefined (6%) | Spoligotyping | [68] | |
Kampala district | MDR-TB (54%), I mono-resistant TB (46%) | 29% | T (71%), LAM9 (11%), Uganda (3.5%), Beijing (3.5%), orphan (11%) | Spoligotyping | [69] | |
Zimbabwe | Countrywide (58/86) | Pre-XDR (27%), MDR-TB (73%) | Not reported | LAM11_ZWE (28%), LAM other (29%), T (16%), Beijing (13%), CAS (5.5%), S (5.5%), MANU (3%) | Spoligotyping | [70] |