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

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:37

Enthalten in:

Revue des maladies respiratoires - 37(2020), 5 vom: 01. Mai, Seite 369-375

Sprache:

Französisch

Weiterer Titel:

Ototoxicité liée à la kanamycine au cours du traitement de la tuberculose multirésistante

Beteiligte Personen:

Poka-Mayap, V [VerfasserIn]
Balkissou Adamou, D [VerfasserIn]
Pefura-Yone, E W [VerfasserIn]
Kuaban, C [VerfasserIn]

Links:

Volltext

Themen:

59-01-8
Aminoglycosides
Aminosides
Antitubercular Agents
Cameroon
Cameroun
Journal Article
Kanamycin
Kanamycine
Multidrug-resistant tuberculosis
Ototoxicité
Ototoxicity
Tuberculose multirésistante

Anmerkungen:

Date Completed 30.10.2020

Date Revised 30.10.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.rmr.2019.12.005

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM308636015