Improved outcomes following addition of bedaquiline and clofazimine to a treatment regimen for multidrug-resistant tuberculosis

OBJECTIVE: To investigate if the addition of bedaquiline and clofazimine to a treatment regimen for multidrug-resistant tuberculosis (MDR-TB) could improve patient outcomes.

METHODS: A prospective, randomized, controlled study was conducted in patients with MDR-TB. Treatment was for 18 months. Patients in the experimental group received bedaquiline and clofazimine in addition to their regular treatment regimen whereas patients in the control group did not.

RESULTS: 68 patients with MDR-TB were randomised to treatment, 34 to each group. At the end of treatment, cure rates were statistically significantly greater for the experimental group compared with the control group (82% vs. 56%). There was no difference between groups in the number of severe adverse events (3[9%]) in both groups and none were skin-related.

CONCLUSIONS: The addition of bedaquiline and clofazimine to the treatment regimen significantly improves outcomes for patients with MDR-TB. Clinicians should be aware of the clinical benefits of this addition but be mindful of contraindications and adverse effects.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:51

Enthalten in:

The Journal of international medical research - 51(2023), 1 vom: 31. Jan., Seite 3000605221148416

Sprache:

Englisch

Beteiligte Personen:

Yao, Ge [VerfasserIn]
Zhu, Muxin [VerfasserIn]
Nie, Qi [VerfasserIn]
Chen, Nanshan [VerfasserIn]
Tu, Shengjin [VerfasserIn]
Zhou, Yong [VerfasserIn]
Xiao, Fan [VerfasserIn]
Liu, Yuan [VerfasserIn]
Li, Xi [VerfasserIn]
Chen, Hua [VerfasserIn]

Links:

Volltext

Themen:

78846I289Y
Antitubercular Agents
Bedaquiline
Clofazimine
D959AE5USF
Journal Article
Multidrug-resistant tuberculosis
Randomized Controlled Trial

Anmerkungen:

Date Completed 02.02.2023

Date Revised 04.02.2023

published: Print

Citation Status MEDLINE

doi:

10.1177/03000605221148416

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM352296593