Kanamycin-induced ototoxicity during treatment of multidrug-resistant tuberculosis
Copyright © 2020 SPLF. Published by Elsevier Masson SAS. All rights reserved..
INTRODUCTION: Aminoglycosides are commonly used in the treatment of multidrug-resistant tuberculosis (MDR-TB). Their use can cause ototoxicity with irreversible hearing loss. The aim of this study was to determine the incidence and to identify factors associated to kanamycin-induced ototoxicity during MDR-TB treatment in Yaounde.
METHODS: The records of patients hospitalized in the pulmonology department of the Jamot Hospital of Yaounde between May 2008 and July 2015 (7 years) for treatment of MDR-TB with regimens containing kanamycin were analyzed. Logistic regression was used to identify for factors associated with ototoxicity during this treatment.
RESULTS: Of the 79 patients included, 60.7% were male and their median age (25th-75th percentile) was 31 (25-43) years. Eighteen (22.8%) patients had HIV infection. During treatment, the incidence of kanamycin-induced ototoxicity [95% confidence interval (95% CI)] was 36.7 (26.9-47.7) %. Factors independently associated with this ototoxicity [odds ratio (95% CI)] during MDR-TB treatment were age>40 years [13.47 (3.66-49.49)] and a body mass index<18.5kg/m2 [4.58 (1.36-15.44)].
CONCLUSION: The incidence of kanamycin-induced ototoxicity during MDR-TB treatment is relatively high. Taking these factors into consideration at the initiation of MDR-TB treatment would allow to reduce the occurrence of irreversible functional impairment induced by the treatment of MDR-TB.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2020 |
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Erschienen: |
2020 |
Enthalten in: |
Zur Gesamtaufnahme - volume:37 |
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Enthalten in: |
Revue des maladies respiratoires - 37(2020), 5 vom: 01. Mai, Seite 369-375 |
Sprache: |
Französisch |
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Weiterer Titel: |
Ototoxicité liée à la kanamycine au cours du traitement de la tuberculose multirésistante |
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Beteiligte Personen: |
Poka-Mayap, V [VerfasserIn] |
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Links: |
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Themen: |
59-01-8 |
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Anmerkungen: |
Date Completed 30.10.2020 Date Revised 30.10.2020 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1016/j.rmr.2019.12.005 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM308636015 |
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520 | |a Copyright © 2020 SPLF. Published by Elsevier Masson SAS. All rights reserved. | ||
520 | |a INTRODUCTION: Aminoglycosides are commonly used in the treatment of multidrug-resistant tuberculosis (MDR-TB). Their use can cause ototoxicity with irreversible hearing loss. The aim of this study was to determine the incidence and to identify factors associated to kanamycin-induced ototoxicity during MDR-TB treatment in Yaounde | ||
520 | |a METHODS: The records of patients hospitalized in the pulmonology department of the Jamot Hospital of Yaounde between May 2008 and July 2015 (7 years) for treatment of MDR-TB with regimens containing kanamycin were analyzed. Logistic regression was used to identify for factors associated with ototoxicity during this treatment | ||
520 | |a RESULTS: Of the 79 patients included, 60.7% were male and their median age (25th-75th percentile) was 31 (25-43) years. Eighteen (22.8%) patients had HIV infection. During treatment, the incidence of kanamycin-induced ototoxicity [95% confidence interval (95% CI)] was 36.7 (26.9-47.7) %. Factors independently associated with this ototoxicity [odds ratio (95% CI)] during MDR-TB treatment were age>40 years [13.47 (3.66-49.49)] and a body mass index<18.5kg/m2 [4.58 (1.36-15.44)] | ||
520 | |a CONCLUSION: The incidence of kanamycin-induced ototoxicity during MDR-TB treatment is relatively high. Taking these factors into consideration at the initiation of MDR-TB treatment would allow to reduce the occurrence of irreversible functional impairment induced by the treatment of MDR-TB | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Aminoglycosides | |
650 | 4 | |a Aminosides | |
650 | 4 | |a Cameroon | |
650 | 4 | |a Cameroun | |
650 | 4 | |a Kanamycin | |
650 | 4 | |a Kanamycine | |
650 | 4 | |a Multidrug-resistant tuberculosis | |
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700 | 1 | |a Kuaban, C |e verfasserin |4 aut | |
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