Population-Level Frequency of Fluoroquinolone Resistance by Whole-Genome Sequencing Drug Predictions in Mycobacterium tuberculosis Complex Isolates in England From 2017 Through 2023.

Ferran, Elena; Chan, Cathleen; Sheikh, Noorann; Dedicoat, Martin; Alexander, Eliza; Gibertoni-Cruz, Ana; Brown, James; Robinson, Esther et al. · Clin Infect Dis · 2025

cross_sectional · Level IV

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Abstract

Fluoroquinolones are increasingly important for anti-tuberculosis (TB) treatment. Identifying fluoroquinolone resistance (FR) is essential. Using sequencing data from over 16 000 unselected isolates, this first English survey of FR, found it present in 1.4% overall and 23.9% of multidrug-resistant TB. Routine sequencing allows clinically-relevant resistance surveillance and should be widely adopted.

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