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Tuberculosis - Drug resistance in Canada 2009

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Tables

Table 10. Reported results for routine drug susceptibility testing of MTB isolates to anti-tuberculosis drugs, Northwest Territories – 1999-2009

  1999 Total (%) 2000 Total (%) 2001 Total (%) 2002 Total (%) 2003 Total (%) 2004 Total (%) 2005 Total (%) 2006 Total (%) 2007 Total (%) 2008 Total (%) 2009 Total (%)
Total number of isolates tested for INH, RMP, EMB and PZA 11 (100.0) 8 (100.0) 6 (100.0) 3 (100.0) 11 (100.0) 9 (100.0) 6 (100.0) 4 (100.0) 14 (100.0) 13 (100.0) 9 (100.0)
Isolates susceptible 11 (100.0) 8 (100.0) 6 (100.0) 3 (100.0) 11 (100.0) 9 (100.0) 6 (100.0) 3 (66.7) 14 (100.0) 13 (100.0) 8 (88.9)
Monoresistance - - - - - - - 1 (33.3) - - 1 (11.1)
INH - - - - - - - 1 (33.3) - - -
RMP - - - - - - -   - - 1 (11.1)

 

Table 11. Reported results for routine drug susceptibility testing of MTB isolates to anti-tuberculosis drugs, Nova Scotia – 1999-2009

  1999 Total (%) 2000 Total (%) 2001 Total (%) 2002 Total (%) 2003 Total (%) 2004 Total (%) 2005 Total (%) 2006 Total (%) 2007 Total (%) 2008 Total (%) 2009 Total (%)
Total number of isolates tested for INH, RMP, EMB and PZA 8 (100.0) 4 (100.0) 7 (100.0) 10 (100.0) 7 (100.0) 9 (100.0) 7 (100.0) 8 (100.0) 5 (100.0) 3 (100.0) 7
(100.0)
Isolates susceptible 7 (87.5) 4 (100.0) 7 (100.0) 9 (90.0) 7 (100.0) 9 (100.0) 6 (85.7) 8 (100.0) 5 (100.0) 3 (100.0) 7 (100.0)
Isolates resistant to one or more drugs 1 (12.5) - - 1 (10.0) - - 1 (14.3) - - - -
Monoresistance 1 (12.5) - - 1 (10.0) - - 1 (14.3) - - - -
INH 1 (12.5) - - - - - - - - - -
PZA - - - 1 (10.0) - - 1 (14.3) - - - -

 

Table 12. Reported results for routine drug susceptibility testing of MTB isolates to anti-tuberculosis drugs, Nunavut – 1999-2009

* MDR-TB is defined as resistance to at least rifampin and isoniazid.
  1999 Total (%) 2000 Total (%) 2001 Total (%) 2002 Total (%) 2003 Total (%) 2004 Total (%) 2005 Total (%) 2006 Total (%) 2007 Total (%) 2008 Total (%) 2009 Total (%)
Total number of isolates tested for INH, RMP, EMB and PZA 15 (100.0) 29 (100.0) 31 (100.0) 22 (100.0) 4 (100.0) 16 (100.0) 27 (100.0) 37 (100.0) 24 (100.0) 51 (100.0) 46 (100.0)
Isolates susceptible 15 (100.0) 28 (96.6) 30 (96.8) 22 (100.0) 4 (100.0) 16 (100.0) 27 (100.0) 37 (100.0) 24 (100.0) 51 (100.0) 45 (97.8)
Isolates resistant to one or more drugs - 1 (3.4) 1 (3.2) - - -   - - - -
Monoresistance - 1 (3.4) - - - -   - - - 1 (2.2)
INH - 1 (3.4) - - - -   - - - 1 (2.2)
MDR-TB* - - 1 (3.2) - - -   - - - -
INH & RMP - - 1 (3.2) - - -   - - - -

 

Table 13. Reported results for routine drug susceptibility testing of MTB isolates to anti–tuberculosis drugs, Ontario – 1999-2009

* Includes M. bovis isolates: 1 M. bovis isolate for 2002, 2003, 2004; 2 for 1999, 2000, 2001, 2009, 2005; and 4 for 2006.
† MDR-TB is defined as resistance to at least rifampin and isoniazid. First and second-line resistance are reported. Second-line drugs include: AK = amikacin; CM = capreomycin; CIPRO = ciprofloxacin; ETA= ethionamide;
KM = kanamycin; OFL = ofloxacin; RBT = rifabutin.
‡ XDR-TB defined as resistance to at least rifampin and isoniazid and further resistance to any fluoroquinolone, and to at least one of three injectable second-line drugs (amikacin, capreomycin and kanamycin).
  1999 Total (%) 2000 Total (%) 2001 Total (%) 2002 Total (%) 2003 Total (%) 2004 Total (%) 2005 Total (%) 2006 Total (%) 2007 Total (%) 2008 Total (%) 2009 Total (%)
Total number of isolates tested for INH, RMP, EMB and PZA* 589 (100.0) 599 (100.0) 588 (100.0) 586 (100.0) 592 (100.0) 599 (100.0) 553 (100.0) 567 (100.0) 538 (100.0) 479 (100.0) 488 (100.0)
Isolates susceptible 508 (86.2) 535 (89.3) 534 (90.8) 517 (88.2) 526 (88.9) 539 (90.0) 487 (88.1) 504 (88.9) 466 (86.6) 427 (88.6) 428 (87.7)
Isolates resistant to one or more drugs 81 (14.8) 64 (10.7) 54 (9.2) 69 (11.8) 66 (11.1) 60 (10.0) 66 (11.9) 63 (11.1) 72 (13.4) 52 (10.9) 60 (12.3)
Monoresistance 58 (9.8) 50 (8.3) 46 (7.8) 49 (8.4) 47 (7.9) 49 (8.2) 51 (9.2) 49 (8.6) 61 (11.3) 40 (8.4) 44 (9.0)
INH 54 (9.2) 37 (6.2) 36 (6.1) 43 (7.3) 42 (7.1) 46 (7.7) 44 (8.0) 39 (6.9) 50 (9.3) 33 (6.9) 39  (7.8)
RMP - - - - 1 (0.2) - - 1 (0.2) 1 (0.2) - -
EMB - 1 (0.2) 1 (0.2) 1 (0.2) - - - - 1 (0.2) 1 (0.2) 1 (0.2)
PZA 4 (0.7) 12 (2.0) 9 (1.5) 5 (0.9) 4 (0.7) 3 (0.5) 7 (1.3) 9 (1.6) 9 (1.7) 6 (1.3) 4 (0.8)
Other Patterns 10
(1.7)
5
(0.8)
5
(0.8)
4
(0.7)
1
(1.2)
4
(0.7)
2
(0.4)
3
(0.5)
4
(0.7)
4
(0.8)
5
(1.0)
INH & EMB 8 (1.4) 3 (0.5) 3 (0.5) 3 (0.5) 5 (0.8) 3 (0.5) 2 (0.4) 3 (0.5) 1 (0.2) 2 (0.4) 3 (0.6)
INH & PZA 2 ( 0.3) - 2 (0.3) - 1 (0.2) 1 (0.2) - - 2 (0.4) - -
EMB & RMP - 2 (0.3) - - - - - - - - -
EMB & PZA - - - - - - - - 1 (0.2) - -
INH & EMB & PZA - - - 1 (0.2) 1 (0.2) - - - - 2 (0.4) 2 (0.4)
MDR-TB† 13
(2.2)
9
(1.5)
3
(0.5)
16
(2.7)
11
(1.9)
7
(1.2)
13
(2.4)
10
(1.8)
7
(1.3)
7
(1.5)
11
(2.3)
INH & RMP 2 ( 0.3) 1 (0.2) - - 1 (0.2) 2 (0.3) - 2 (0.4) - - 1 (0.2)
INH & RMP & PZA - - - - - 1 (0.2) - - - - -
INH & RMP & EMB - 2 (0.3) 1 (0.2) 1 (0.2) - - - - - - -
INH & RMP & SM 3 (0.5) 2 (0.3) - 1 (0.2) - - - - - - -
INH & RMP & RBT - - - - 1 (0.2) - 3 (0.5) 1 (0.2) - - -
INH & RMP & ETA 1 (0.2) - - - - - - - - - -
INH & RMP & ETA & RBT - - - 1 (0.2) 1 (0.2) - - 1 (0.2) - 1 (0.2) 1 (0.2)
INH & RMP & CM & RBT - - - - - - - 1 (0.2) - - -
INH & RMP & SM & RBT - - - 1 (0.2) - - 2 (0.4) - - 3 (0.6) 1 (0.2)
INH & RMP & PZA & SM - 1 (0.2) - - - 1 (0.2) - - - - -
INH & RMP & PZA & RBT - - - - 2 (0.3) - - - - - -
INH & RMP & EMB & SM - 1 (0.2) - - - - - - - - -
INH & RMP & EMB & RBT - - - - - - - 2 (0.4) 1 (0.2) 1 (0.2) 2 (0.4)
INH & RMP & EMB & SM & RBT - - - 1 (0.2) - - 2 (0.4) - - - -
INH & RMP & EMB & SM & ETA - 1 (0.2) - - - - - - - - -
INH & RMP & EMB & SM & ETA & RBT                     1 (0.2)
INH & RMP & SM & OFL & RBT - - - - 1 (0.2) - 1 (0.2) - - - -
INH & RMP & AK & CM & RBT - - - - - - - 1 (0.2) - - -
INH & RMP & PZA & ETA & RBT - - - - - - - 1 (0.2) - - -
INH & RMP & PZA & SM & ETA & RBT - - - - - - - - 1 (0.2) - 1 (0.2)
INH & RMP & OFL & ETA & RBT - - - - - 1 (0.2) - - - - -
INH & RMP & OFL & ETA & RBT & PAS - - - - - - - 1 (0.2) - - -
INH & RMP & SM & OFL & ETA                     1 (0.2)
INH & RMP & CM & ETA & RBT - - - - - 1 (0.2) - - - - -
INH & RMP & EMB & PZA & RBT - - - 1 (0.2) 1 (0.2) - - - 1 (0.2) - -
INH & RMP & PZA & OFL & CIPRO 1 (0.2) - - - - - - - - - -
INH & RMP & EMB & PZA & SM 3 (0.5) - - - 1 (0.2) - 1 (0.2) - - - -
INH & RMP & SM & ETA & RBT - 1 (0.2) - 4 (0.7) - - 1 (0.2) - - - 1 (0.2)
INH & RMP & SM & OFL & ETA & RBT                     1 (0.2)
INH & RMP & EMB & PZA & SM & ETA 3 (0.5) - - 1 (0.2) - - - - - - -
INH & RMP & EMB & PZA & SM & RBT - - - - - - - - 1 (0.2) 1 (0.2) 1 (0.2)
INH & RMP & PZA & SM & ETA & RBT - - - - - - 1 (0.2) - - 1 (0.2) -
INH & RMP & PZA & EMB & ETA & RBT - - 1 (0.2) - 1 (0.2) - - - 2 (0.4) - -
INH & RMP & PZA & EMB & SM & ETA & RBT - - 1 (0.2) (2 (0.3) 1 (0.2) - 1 (0.2) - - - -
INH & RMP & PZA & EMB & SM & OFL & RBT - - - - - - 1 (0.2) - - - -
INH & RMP & PZA & EMB & SM & ETA & RBT & OFL - - - 1 (0.2) 1 (0.2) 1 (0.2) - - - - -
INH & RMP & EMB & PZA & AK & CM & ETA & RBT - - - - - - - - 1 (0.2) - -
INH & RMP & EMB & PZA & SM & AK & CM & RBT - - - 1 (0.2) - - - - - - -
XDR-TB‡ - - - - 1 (0.2) - - 1 (0.2) - 1 (0.2) -
INH & RMP & EMB & PZA & SM & AK & CM & ETA & OFL & RBT - - - - 1 (0.2) - - - - - -
INH & RMP & AK & CM & OFL & ETA & RBT - - - - - - - 1 (0.2) - - -
INH & RMP & EMB & PZA & CM & OFL & RBT & PAS - - - - - - - - - 1 (0.2) -

 

Table 14. Reported results for routine drug susceptibility testing of MTB isolates to anti-tuberculosis drugs, Prince Edward Island – 1999-2009

* Includes 1 M. bovis isolate for 2001.
  1999 Total (%) 2000 Total (%) 2001 Total (%) 2002 Total (%) 2003 Total (%) 2004 Total (%) 2005 Total (%) 2006 Total (%) 2007 Total (%) 2008 Total (%) 2009 Total (%)
Total number of isolates tested for INH, RMP, EMB and PZA* 2 (100.0) 3 (100.0) 2 (100.0) 1 (100.0) 2 (100.0) 1 (100.0) 1 (100.0) 0 0 0 1 (100.0)
Isolates susceptible 2 (100.0) 3 (100.0) 1 (50) 1 (100.0) 2 (100.0) 1 (100.0) 1 (100.0) 0 0 0 1
(100.0)
Isolates resistant to one or more drugs - - 1 (50) - - - - - - - -
Monoresistance - - 1 (50) - - - - - - - -
PZA - - 1 (50) - - - - - - - -

 

Table 15. Reported results for routine drug susceptibility testing of MTB isolates to anti-tuberculosis drugs, Quebec – 1999-2009

* Includes M. bovis isolates: 1 in 1998, 1999, 2001, 2002, 2003, 2007, 2009 and 2 in 2002, 2004, 2006; M. caprae: 1 in 2002 and 2006; M. africanum: 1 in 2003, 2005, 2006, 2008; 2 in 2007; and 3 in 2009.
† MDR-TB is defined as resistance to at least rifampin and isoniazid. First and second-line resistance are reported. Second-line drugs include: AK = Amikacin; CM = capreomycin; ETA= ethionamide; KM = kanamycin;
RBT = rifabutin
  1999 Total (%) 2000 Total (%) 2001 Total (%) 2002 Total (%) 2003 Total (%) 2004 Total (%) 2005 Total (%) 2006 Total (%) 2007 Total (%) 2008 Total (%) 2009 Total (%)
Total number of isolates tested for INH, RMP, EMB and PZA* 268 (100.0) 278 (100.0) 221 (100.0) 247 (100.0) 219 (100.0) 207 (100.0) 226 (100.0) 201 (100.0) 200 (100.0) 210 (100.0) 171 (100)
Isolates susceptible 236 (88.1) 249 (89.6) 202 (91.4) 222 (89.9) 187 (85.4) 190 (91.8) 207 (91.6) 173 (86.1) 177 (88.5) 188 (90.0) 156 (91.2)
Isolates resistant to one or more drugs 32 (11.9) 29 (10.4) 19
(8.6)
25 (10.1) 32 (14.6) 17
(8.2)
19
(8.4)
28 (13.9) 23 (11.5) 22 (10.5) 15 (8.8)
Monoresistance 28 (10.4) 28 (10.1) 18
(8.1)
23
(9.3)
31 (14.2) 15
(7.2)
18
(8.0)
26 (12.9) 17
(8.5)
19
(9.0)
9 (5.3)
INH 17 (6.3) 19 (6.8) 14 (6.3) 13 (5.3) 25 (11.4) 11 (5.3) 14 (6.2) 21 (10.4) 12 (6.0) 15 (7.1) 7 (4.1)
RMP 1 (0.4) - - 1 (0.4) - -   1 (0.5) 1 (0.5) -  
EMB - - - - - - - - - -  
PZA 10
(3.7)
9 (3.2) 4 (1.8) 9 (3.6) 6 (2.7) 4 (1.9) 4 (1.8) 4 (2.0) 4 (2.0) 4 (1.9) 2 (1.2)
Other Patterns 2 (0.7) 0 (0) 0 (0) 1 (0.4) 0 (0) 1 (0.5) 0 (0) 0 (0) 4 (2.0) 1 (0.5)  
INH & EMB - - - 1 (0.4) - 1 (0.5) - - 3 (1.5) -  
INH & PZA 2 (0.7) - - - - - - - 1 (0.5) 1 (0.5)  
MDR-TB† 2
(0.7)
1
(0.4)
1
(0.5)
1
(0.4)
1
(0.5)
1
(0.5)
1
(0.4)
2
(1.0)
2
(1.0)
2
(1.0)
6
(3.5)
INH & RMP & SM 1 (0.4) - - - - - - - - -  
INH & RMP & ETA - - - - 1 (0.5) - - - - -  
INH & RMP & RBT - - - - - 1 (0.5) - - - -  
INH & RMP & EMB & ETA - - - - - - - 1 (0.5) 1 (0.5) -  
INH & RMP & EMB & RBT                     1 (0.6)
INH & RMP & SM & RBT - - 1 (0.5) - - - - - - 1 (0.5) 2 (1.2)
INH & RMP & ETA & RBT - - - - - - - - - - 1 (0.6)
INH & RMP & EMB & SM & RBT - - - - - - - - 1 (0.5) -  
INH & RMP & EMB & ETA & RBT - - - - - - - 1 (0.5) - -  
INH & RMP & PZA & ETA & RBT - - - - - - 1 (0.4) - - -  
INH & RMP & PZA & EMB & RBT - - - - - - - - - - 1 (0.6)
INH & RMP & EMB & SM & ETA & PAS - - - 1 (0.4) - - - - - -  
INH & RMP & EMB & PZA & SM & CM 1 (0.4) - - - - - - - - -  
INH & RMP & PZA & SM & KM & CM & ETA - - - - - - - - - - 1 (0.6)
INH & RMP & PZA & SM & AK & KM & CM                   1 (0.5)  

 

Table 16. Reported results for routine drug susceptibility testing of MTB isolates to anti-tuberculosis drugs, Saskatchewan – 1999-2009

* Routine testing for PZA not conducted.
† MDR-TB is defined as resistance to at least rifampin and isoniazid.
  1999 Total (%) 2000 Total (%) 2001 Total (%) 2002 Total (%) 2003 Total (%) 2004 Total (%) 2005 Total (%) 2006 Total (%) 2007 Total (%) 2008 Total (%) 2009 Total (%)
Total number of isolates tested for INH, RMP, EMB and PZA* 40 (100.0) 63 (100.0) 68 (100.0) 56 (100.0) 46 (100.0) 34 (100.0) 75 (100.0) 58 (100.0) 60 (100.0) 81 (100.0) 77 (100.0)
Isolates susceptible 39 (97.5) 58 (92.1) 65 (95.6) 51 (91.1) 45 (97.8) 32 (94.1) 73 (97.3) 57 (98.3) 59 (98.3) 79 (97.5) 72
(93.5)
Isolates resistant to one or more drugs 1 (2.5) 5 (7.9) 3 (4.4) 5 (8.9) 1 (2.2) 2 (5.9) 2 (2.7) 1 (1.7) 1 (1.7) 2 (2.5) 5 (6.5)
Monoresistance 1 (2.5) 4 (6.3) 3 (4.4) 4 (7.1) 1 (2.2) 2 (5.9) 2 (2.7) 1 (1.7) 1 (1.7) 2 (2.5) 3 (3.9)
INH 1 (2.5) 2 (3.2) 3 (4.4) 3 (5.4) 1 (2.2) 2 (5.9) 2 (2.7) 1 (1.7) 1 (1.7) 2 (2.5) 3 (3.9)
EMB - 1 (1.6) - 1 (1.8) - - -        
MDR-TB†       - - - - - - - 1 (1.3)
INH & RMP & SM       - - - - - - - 1 (1.3)
Other Patterns - 1 (1.6) 1 (1.5) 1 (1.8) - - - - - - 1 (1.3)
INH & EMB - 1 (1.6) - 1 (1.8) - - - - - - 1 (1.3)

 

Table 17. Reported results for routine drug susceptibility testing of MTB isolates to anti-tuberculosis drugs, Yukon – 1999-2009

* Routine testing for PZA not conducted.
  1999 Total (%) 2000 Total (%) 2001 Total (%) 2002 Total (%) 2003 Total (%) 2004 Total (%) 2005 Total (%) 2006 Total (%) 2007 Total (%) 2008 Total (%) 2009 Total
(%)
Total number of isolates tested for INH, RMP, EMB and PZA* - 3 (100.0) 1 (100.0) - 1 (100.0) 3 (100.0) 2 (100.0) 2 (100.0) 2 (100.0) 7 (100.0) 3 (100.0)
Isolates susceptible - 3 (100.0) 1 (100.0) - 1 (100.0) 3 (100.0) 2 (100.0) 2 (100.0) 2 (100.0) 7 (100.0) 3 (100.0)

 

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