Funding for this research was provided by:
Conselho Nacional de Desenvolvimento Científico e Tecnológico (---)
Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro (---)
Received: 23 August 2018
Accepted: 7 May 2019
First Online: 13 June 2019
Ethics approval and consent to participate
: The strains analyzed for this study were those routinely obtained as requested by the National Tuberculosis Programs in each country for diagnosis or treatment follow-up. All laboratory specimens were identified by a coded number, and they were handled blindly without the possibility to disclose patient’s identity. For genotyping of mycobacterial strains no informed consent was needed. This study was approved by the Scientific and Ethics Committee of the Institute of Research in Health Sciences (IICS), National University of Asunción by process number P7/03. In Paraguay the current regulation for bioethics is set by the National Bioethics Commission created by Executive Resolution N° 438/2017. In Buenos Aires, when sample collection was carried out, Cetrangolo Hospital had a general informed consent form for both ambulatory or in patients that was used according to the medical procedures. In this form it was specified that the clinical specimens obtained would be used with research purposes. No clinical or personal data of patients were used. The study has Research Committee approval. Legislation in Buenos Aires Province for Ethics in research is Law N° 11044 and its application from the Ministry of Health by Resolution N° 4107/2009. The strains from Caracas, Venezuela were isolated for routine diagnosis purpose in the year 2007 in the “Tuberculosis Laboratory” in Hospital “Dr. Jose Maria Vargas de Caracas”. Bacterial strains were coded and send to the Laboratory of Tuberculosis (Instituto de Biomedicina) for genotyping. Moreover, no clinical or personal data of the patients have been used for the publication. Bioethics regulation in Venezuela is set by the Código de bioética y bioseguridad. Ministerio de Ciencia y Tecnología. Fondo Nacional de Ciencia, Tecnología e Innovación.
: Not applicable.
: The authors declare that they have no competing interests.
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