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One factor that helps give rise to multidrug-resistant strains of Mycobacterium tuberculosis (Mtb) is the prolonged time required to perform traditional phenotypic antimicrobial susceptibility testing. In 2010 the advent of automated molecular testing (AMT) permitted assays on unprocessed sputum samples for both Mtb and rifampin resistance (NEJM JW Infect Dis Nov 2010 and N Engl J Med 2010; 363:1005). In a prospective trial, researchers have now assessed the ability of a more-rapid AMT assay (provided by the manufacturer) to determine Mtb resistance to fluoroquinolones, aminoglycosides, and isoniazid on unprocessed sputum.
Sputum samples from 308 individuals with confirmed pulmonary tuberculosis were studied, including 194 that had strains r…