Drug resistance patterns, trends, and risk factors for multidrug resistance of tuberculosis in Wenzhou, China: a ten-year retrospective analysis (2014–2023)

Drug-resistant tuberculosis prevalence in Wenzhou declined over the decade, largely due to improved management of retreated cases. However, persistent primary DR-TB transmission among new patients highlights the need for enhanced active screening and targeted interventions. High-risk groups, including young people, individuals of Han ethnicity, migrants, unemployed individuals, and retreated patients, require prioritized attention in TB control strategies.