MDR in TB is defined as resistance to which of the following drugs?

  1. Streptomycin, Rifampicin, Isoniazid
  2. Streptomycin, Rifampicin
  3. Rifampicin, Isoniazid
  4. Streptomycin, Isoniazid

Answer (Detailed Solution Below)

Option 3 : Rifampicin, Isoniazid

Detailed Solution

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The correct option is: Rifampicin, Isoniazid

Explanation:

  • MDR-TB (Multidrug-Resistant Tuberculosis) is defined as resistance to at least two first-line anti-TB drugs: Rifampicin and Isoniazid.
  • These two drugs are the cornerstone of standard treatment for tuberculosis. If the bacteria are resistant to both, it is considered MDR-TB.
  • Resistance to Streptomycin alone does not define MDR-TB, although it can contribute to resistance in cases of XDR-TB (Extensively Drug-Resistant Tuberculosis), where additional drugs like Fluoroquinolones and Injectables are also resistant.

Additional Information:

  • MDR-TB is a serious global health concern and requires longer, more complex treatment regimens, often involving second-line drugs that are more expensive and less effective.
  • The World Health Organization (WHO) recommends that anyone diagnosed with MDR-TB undergo appropriate testing to ensure the best possible treatment options.
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