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Prevalence of Drug-Resistant Tuberculosis in Mainland China: Systematic Review and Meta-Analysis

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  • Yu Yang
  • Xiangwei Li
  • Feng Zhou
  • Qi Jin
  • Lei Gao

Abstract

Background: The spread of drug-resistant tuberculosis (TB) is one of the major public health problems in the world. Surveillance of anti-TB drug resistance is important for monitoring TB control strategies. However, the status of drug-resistant TB in China has been reported inconsistently. Methods: We systematically reviewed published studies on drug-resistant TB in China until March 31, 2011, and quantitatively summarized prevalence and patterns of anti-TB drug resistance among new cases and previously treated cases, respectively. Results: Ninety-five eligible articles, published during 1993–2011, were included in this review. The meta-analyses showed that the prevalence of drug-resistant TB in new cases was 27.9% (95% CI, 25.6%–30.2%) (n/N = 27360/104356) and in previously treated cases was 60.3% (95% CI, 56.2%–64.2%) (n/N = 30350/45858). Furthermore, in these two study populations, the prevalence of multiple drug resistance was found to be 5.3% (95% CI, 4.4%–6.4%) (n/N = 8810/101718) and 27.4% (95% CI, 24.1%–30.9%) (n/N = 10486/44530) respectively. However, the results were found to be frequently heterogeneous (p for Q tests

Suggested Citation

  • Yu Yang & Xiangwei Li & Feng Zhou & Qi Jin & Lei Gao, 2011. "Prevalence of Drug-Resistant Tuberculosis in Mainland China: Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 6(6), pages 1-7, June.
  • Handle: RePEc:plo:pone00:0020343
    DOI: 10.1371/journal.pone.0020343
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    Cited by:

    1. Qionghong Duan & Zi Chen & Cong Chen & Zhengbin Zhang & Zhouqin Lu & Yalong Yang & Lin Zhang, 2016. "The Prevalence of Drug-Resistant Tuberculosis in Mainland China: An Updated Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-11, February.
    2. Fang Ma & Yu Yang & Xiangwei Li & Feng Zhou & Cong Gao & Mufei Li & Lei Gao, 2013. "The Association of Sport Performance with ACE and ACTN3 Genetic Polymorphisms: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-9, January.

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