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Article: Effectiveness and Safety of Short-term Regimen for Multidrug-resistant Tuberculosis Treatment: A Systematic Review of Cohort Studies.

Mahardani, Putu Nandika / Wati, Dyah Kanya / Siloam, Azriel / Savitri, Ni Putu Ayu / Manggala, Arya Krisna

Oman medical journal

2022  Volume 37, Issue 1, Page(s) e337

Abstract: This systematic review explores the effectiveness and safety of a short-term regimen (STR) in treating multidrug-resistant tuberculosis (MDR-TB). We use several cohort studies which were searched using standardized Preferred Reporting Items for ... ...

Abstract This systematic review explores the effectiveness and safety of a short-term regimen (STR) in treating multidrug-resistant tuberculosis (MDR-TB). We use several cohort studies which were searched using standardized Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The keywords were used based on problem, intervention, comparison, and outcome consisted of MDR-TB and STR. Seven cohort studies were selected from 314 studies. The result showed that STR has better therapeutic efficacy and shorter duration than the 2011 World Health Organization regimen for MDR-TB with success rates above 50% in respective studies. The most effective regimen was kanamycin-high-dose isoniazid-clofazimine-ethambutol-prothionamide-pyrazinamide-gatifloxacin in the intensive phase for four months and clofazimine-ethambutol-pyrazinamide-gatifloxacin-prothionamide in the continuation phase for eight months. Gastrointestinal problems, ototoxicity, dysglycemia, and liver problems were the most reported side effects. STR provides good effectiveness in MDR-TB treatment in terms of treatment success rate and short therapy duration.
Language English
Publishing date 2022-01-31
Publishing country Oman
Document type Journal Article ; Review
ZDB-ID 2571431-4
ISSN 2070-5204 ; 1999-768X
ISSN (online) 2070-5204
ISSN 1999-768X
DOI 10.5001/omj.2021.64
Database MEDical Literature Analysis and Retrieval System OnLINE

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