Authors :
S. S. Wanjari; I. B. Shelke; A. R. Jaiswal
Volume/Issue :
Volume 11 - 2026, Issue 3 - March
Google Scholar :
https://tinyurl.com/4yuwu5ek
Scribd :
https://tinyurl.com/4eptassp
DOI :
https://doi.org/10.38124/ijisrt/26mar651
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Multidrug-resistant tuberculosis (MDR-TB), defined as resistance to Isoniazid and Rifampicin, Poses a major
global health threat with treatment success rates around 60-75% using traditional regimens. Recent advances introduce
shorter all-oral regimens like BPalm (Bedaquiline,Pretomanid,Linezolid 600mg,Moxifloxacin) for 6 months,achievieng up to
89-93% success in trials suchasTB-PRACTECALandNix-TB, outperforminglonger 18–20-monthoperations.These strategies
leveragenew drugs targeting ATP synthases,Mycolic acid, Alongside resistancemechanismslikeGeneticmutationandefflux
pumps,Emphasizing Nanotechnology and Host-Directed Approaches,whilehighlightingFutureresearchpriorities.
References :
- Padmapriyadarsini, C., et al. (2022). Bedaquiline, delamanid, linezolid, and clofazimine for highly drug-resistant pulmonary tuberculosis: an observational study. Clinical Infectious Diseases / PLoS / Lancet regional reporting [PMCID]. (2022).
- Zumla A, et al. “Drug-resistant tuberculosis—current dilemmas, unanswered questions, challenges, and priority needs.” Lancet Infect Dis.
- Gandhi NR, et al. “Multidrug-Resistant and Extensively Drug-Resistant Tuberculosis: Epidemiology and Treatment.” Lancet.
- Conradie F, et al. “Treatment of Highly Drug-Resistant TB with BPaL Regimen.” N Engl J Med.
- .Pai, M., Behr, M. A., Dowdy, D., et al. (2016). Tuberculosis. Nature Reviews Disease Primers, 2, 16076.
- Guirado, E., & Schlesinger, L. S. (2013). Modeling the Mycobacterium tuberculosis granuloma—The critical battlefield in host immunity and disease. Frontiers in Immunology, 4, 98.
- Zhu, H., et al. (2023). Advances of new drugs bedaquiline and delamanid in tuberculosis treatment. Frontiers / Journal review. 2023
- Shaw, E. S. (2024). Bedaquiline: what might the future hold? The Lancet Microbe, 2024.
- Evaluation of the BD MAX™ MDR-TB assay in a real-world setting for the diagnosis of pulmonary and extra-pulmonary TB Original ArticlePublished: 20 February 2020 Volume 39, pages 1321–1327, (2020) of body text
- Combined Use of Delamanid and Bedaquiline to Treat Multidrug-Resistant and Extensively Drug- Resistant Tuberculosis Giovanni Battista Migliori et al. Int J Mol Sci. 2017.
- The looming threat of bedaquiline resistance in tuberculosis Eur Respir J. 2020; 55, 2000718.
- Drug resistant tuberculosis: Implications for transmission, diagnosis, and disease management Dale Liebenberg,Bhavna Gowan Gordhan,Bavesh Davandra Kana *2022; 12, 943545
- Modeling the Mycobacterium tuberculosis Granuloma – the Critical Battlefield in Host Immunity and Disease Evelyn GuirLarry S. Schlesinger *
- Outcome of treatment of MDR-TB or drug-resistant patients treated with bedaquiline and delamanid: Results from a large global cohort S.Koirala et al. Pulmonology. 2021 Sep-Oct.
- Acquired resistance of Mycobacterium tuberculosis to bedaquiline Koen Andries et al. PLoS One. 2014.
Multidrug-resistant tuberculosis (MDR-TB), defined as resistance to Isoniazid and Rifampicin, Poses a major
global health threat with treatment success rates around 60-75% using traditional regimens. Recent advances introduce
shorter all-oral regimens like BPalm (Bedaquiline,Pretomanid,Linezolid 600mg,Moxifloxacin) for 6 months,achievieng up to
89-93% success in trials suchasTB-PRACTECALandNix-TB, outperforminglonger 18–20-monthoperations.These strategies
leveragenew drugs targeting ATP synthases,Mycolic acid, Alongside resistancemechanismslikeGeneticmutationandefflux
pumps,Emphasizing Nanotechnology and Host-Directed Approaches,whilehighlightingFutureresearchpriorities.