There are limited data on the temporal relationship between the regional introduction of multidrug-resistant tuberculosis (MDR-TB) treatment and the subsequent development of extensively drug-resistant TB (XDR-TB). The first XDR-TB case in the Western Cape province of South Africa was recorded in 1992, approximately 5 - 7 years after the regional introduction of MDR-TB-like treatment. Between 1990 and 2002 we identified 48 patients with XDR-TB in the Cape Metropole region of the Western Cape province. Patients were predominantly HIV-uninfected and median survival was 10.8 months. XDR-TB has therefore been present in the Western Cape at least since 1992. These data inform public health policy relevant to the introduction of new anti-TB drug regimens.
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Boston Univ, Dept Epidemiol, Sch Publ Hlth, Boston, MA USABoston Univ, Dept Epidemiol, Sch Publ Hlth, Boston, MA USA
Sy, Karla Therese L.
Leavitt, Sarah, V
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Boston Univ, Dept Biostat, Sch Publ Hlth, Boston, MA USABoston Univ, Dept Epidemiol, Sch Publ Hlth, Boston, MA USA
Leavitt, Sarah, V
de Vos, Margaretha
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Stellenbosch Univ, Fac Med & Hlth Sci, South African Med Res Council Ctr TB Res, Div Mol Biol & Human Genet,DSI NRF Ctr Excellence, Cape Town, South AfricaBoston Univ, Dept Epidemiol, Sch Publ Hlth, Boston, MA USA
de Vos, Margaretha
Dolby, Tania
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Natl Hlth Lab Serv, Cape Town, South AfricaBoston Univ, Dept Epidemiol, Sch Publ Hlth, Boston, MA USA
Dolby, Tania
Bor, Jacob
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Boston Univ, Dept Epidemiol, Sch Publ Hlth, Boston, MA USA
Boston Univ, Dept Biostat, Sch Publ Hlth, Boston, MA USABoston Univ, Dept Epidemiol, Sch Publ Hlth, Boston, MA USA
Bor, Jacob
Horsburgh, C. Robert
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Boston Univ, Dept Epidemiol, Sch Publ Hlth, Boston, MA USA
Boston Univ, Dept Biostat, Sch Publ Hlth, Boston, MA USA
Boston Univ, Dept Global Hlth, Sch Publ Hlth, Boston, MA USA
Boston Univ, Sch Med & Boston Med Ctr, Sect Infect Dis, Boston, MA 02215 USABoston Univ, Dept Epidemiol, Sch Publ Hlth, Boston, MA USA
Horsburgh, C. Robert
Warren, Robin M.
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Stellenbosch Univ, Fac Med & Hlth Sci, South African Med Res Council Ctr TB Res, Div Mol Biol & Human Genet,DSI NRF Ctr Excellence, Cape Town, South AfricaBoston Univ, Dept Epidemiol, Sch Publ Hlth, Boston, MA USA
Warren, Robin M.
Streicher, Elizabeth M.
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Stellenbosch Univ, Fac Med & Hlth Sci, South African Med Res Council Ctr TB Res, Div Mol Biol & Human Genet,DSI NRF Ctr Excellence, Cape Town, South AfricaBoston Univ, Dept Epidemiol, Sch Publ Hlth, Boston, MA USA
Streicher, Elizabeth M.
Jenkins, Helen E.
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Boston Univ, Dept Biostat, Sch Publ Hlth, Boston, MA USABoston Univ, Dept Epidemiol, Sch Publ Hlth, Boston, MA USA
Jenkins, Helen E.
Jacobson, Karen R.
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Boston Univ, Sch Med & Boston Med Ctr, Sect Infect Dis, Boston, MA 02215 USABoston Univ, Dept Epidemiol, Sch Publ Hlth, Boston, MA USA
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Massachusetts Gen Hosp, Div Infect Dis, Boston, MA 02114 USAMassachusetts Gen Hosp, Div Infect Dis, Boston, MA 02114 USA
Jacobson, Karen R.
Theron, Danie
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Brewelskloof Hosp, Worcester, MA USAMassachusetts Gen Hosp, Div Infect Dis, Boston, MA 02114 USA
Theron, Danie
Victor, Thomas C.
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Univ Stellenbosch, Dept Sci & Technol, Natl Res Fdn Ctr Excellence Biomed TB Res, Med Res Council Ctr Mol & Cellular Biol, Cape Town, South AfricaMassachusetts Gen Hosp, Div Infect Dis, Boston, MA 02114 USA
Victor, Thomas C.
Streicher, Elizabeth M.
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Univ Stellenbosch, Dept Sci & Technol, Natl Res Fdn Ctr Excellence Biomed TB Res, Med Res Council Ctr Mol & Cellular Biol, Cape Town, South AfricaMassachusetts Gen Hosp, Div Infect Dis, Boston, MA 02114 USA
Streicher, Elizabeth M.
Warren, Robin M.
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Univ Stellenbosch, Dept Sci & Technol, Natl Res Fdn Ctr Excellence Biomed TB Res, Med Res Council Ctr Mol & Cellular Biol, Cape Town, South AfricaMassachusetts Gen Hosp, Div Infect Dis, Boston, MA 02114 USA
Warren, Robin M.
Murray, Megan B.
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Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USAMassachusetts Gen Hosp, Div Infect Dis, Boston, MA 02114 USA
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South African Weather Serv, Private Bag X097, ZA-0001 Pretoria, South AfricaSouth African Weather Serv, Private Bag X097, ZA-0001 Pretoria, South Africa
Botai, Christina M.
Botai, Joel O.
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South African Weather Serv, Private Bag X097, ZA-0001 Pretoria, South Africa
Geoinformat Meteorol, Dept Geog, Private Bag X20, ZA-0028 Hatfield, South AfricaSouth African Weather Serv, Private Bag X097, ZA-0001 Pretoria, South Africa
Botai, Joel O.
de Wit, Jaco P.
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South African Weather Serv, Private Bag X097, ZA-0001 Pretoria, South AfricaSouth African Weather Serv, Private Bag X097, ZA-0001 Pretoria, South Africa
de Wit, Jaco P.
Ncongwane, Katlego P.
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South African Weather Serv, Private Bag X097, ZA-0001 Pretoria, South AfricaSouth African Weather Serv, Private Bag X097, ZA-0001 Pretoria, South Africa
Ncongwane, Katlego P.
Adeola, Abiodun M.
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South African Weather Serv, Private Bag X097, ZA-0001 Pretoria, South AfricaSouth African Weather Serv, Private Bag X097, ZA-0001 Pretoria, South Africa