Efficacy of a 6-month versus 9-month Intermittent Treatment Regimen in HIV-infected Patients with Tuberculosis

作者: Soumya Swaminathan , Gopalan Narendran , Perumal Venkatesan , Sheik Iliayas , Rameshkumar Santhanakrishnan

DOI: 10.1164/RCCM.200903-0439OC

关键词:

摘要: Rationale: The outcome of fully intermittent thrice-weekly antituberculosis treatment various durations in HIV-associated tuberculosis is unclear.Objectives: To compare the efficacy an 6-month regimen (Reg6M: 2EHRZ3/4HR3 [ethambutol, 1,200 mg; isoniazid, 600 rifampicin, 450 or mg depending on body weight <60 ≥60 kg; and pyrazinamide, 1,500 for 2 mo; followed by 4 mo isoniazid rifampicin at same doses]) versus a 9-month (Reg9M: 2EHRZ3/7HR3) HIV/tuberculosis (TB).Methods: HIV-infected patients with newly diagnosed pulmonary extrapulmonary TB were randomly assigned to Reg6M (n = 167) Reg9M 160) monitored determination clinical, immunological, bacteriological parameters 36 months. Primary outcomes included favorable responses end recurrences during follow-up, whereas secondary was death. Intent-to-treat on-treatment analyses performed. All antiretroviral treatment–naiv...

参考文章(34)
P S Vaidyanathan, P S Jagannatha, V K Chadha, P Jagota, PPD RT23 for tuberculin surveys in India. International Journal of Tuberculosis and Lung Disease. ,vol. 7, pp. 172- 179 ,(2003)
F. J. Baker, Bryan William Allen, Mycobacteria: isolation, identification and sensitivity testing Butterworths. ,(1968)
Pamela Sonnenberg, Jill Murray, Judith R Glynn, Stuart Shearer, Bupe Kambashi, Peter Godfrey-Faussett, HIV-1 and recurrence, relapse, and reinfection of tuberculosis after cure: a cohort study in South African mineworkers The Lancet. ,vol. 358, pp. 1687- 1693 ,(2001) , 10.1016/S0140-6736(01)06712-5
Sidibe Kassim, Madeleine Sassan-Morokro, Alain Ackah, Lucien Y. Abouya, Hippolyte Digbeu, Gilberte Yesso, Issa-Malick Coulibaly, Doulhourou Coulibaly, Patrick J. Whitaker, Ronan Doorly, Kathleen M. Vetter, Kari Brattegaard, Emmanuel Gnaore, Alan E. Greenberg, Stefan Z. Wiktor, Kevin M. De Cock, Two-year follow-up of persons with HIV-1− and HIV-2-associated pulmonary tuberculosis treated with short-course chemotherapy in West Africa AIDS. ,vol. 9, pp. 1185- 1192 ,(1995) , 10.1097/00002030-199510000-00011
Woojin Lew, Madhukar Pai, Olivia Oxlade, Daniel Martin, Dick Menzies, Initial drug resistance and tuberculosis treatment outcomes: systematic review and meta-analysis. Annals of Internal Medicine. ,vol. 149, pp. 123- 134 ,(2008) , 10.7326/0003-4819-149-2-200807150-00008
R E Chaisson, H C Clermont, E A Holt, M Cantave, M P Johnson, J Atkinson, H Davis, R Boulos, T C Quinn, N A Halsey, Six-month supervised intermittent tuberculosis therapy in Haitian patients with and without HIV infection. American Journal of Respiratory and Critical Care Medicine. ,vol. 154, pp. 1034- 1038 ,(1996) , 10.1164/AJRCCM.154.4.8887603
JH Perriens, Pulmonary tuberculosis in HIV-infected patients in Zaire Biomedicine & Pharmacotherapy. ,vol. 50, pp. 41- 42 ,(1996) , 10.1016/0753-3322(96)85104-3
Anthony D Harries, Nicola J Hargreaves, Julia Kemp, Amina Jindani, Donald A Enarson, Dermot Maher, Felix M Salaniponi, Deaths from tuberculosis in sub-Saharan African countries with a high prevalence of HIV-1 The Lancet. ,vol. 357, pp. 1519- 1523 ,(2001) , 10.1016/S0140-6736(00)04639-0
D. A. Mitchison, Drug resistance in tuberculosis European Respiratory Journal. ,vol. 25, pp. 376- 379 ,(2005) , 10.1183/09031936.05.00075704