Title |
Shortened tuberculosis treatment regimens: what is new?
|
---|---|
Published in |
Jornal de Pneumologia, January 2020
|
DOI | 10.36416/1806-3756/e20200009 |
Pubmed ID | |
Authors |
Denise Rossato Silva, Fernanda Carvalho de Queiroz Mello, Giovanni Battista Migliori |
Abstract |
Given the global burden of tuberculosis, shortened treatment regimens with existing or repurposed drugs are needed to contribute to tuberculosis control. The long duration of treatment of drug-susceptible tuberculosis (DS-TB) is associated with nonadherence and loss to follow up, and the treatment success rate of multidrug-resistant tuberculosis (MDR-TB) is low (approximately 50%) with longer regimens. In this review article, we report recent advances and ongoing clinical trials aimed at shortening regimens for DS-TB and MDR-TB. We discuss the role of high-dose rifampin, as well as that of clofazimine and linezolid in regimens for DS-TB. There are at least 5 ongoing clinical trials and 17 observational studies and clinical trials evaluating shorter regimens for DS-TB and MDR-TB, respectively. We also report the results of observational studies and clinical trials evaluating a standardized nine-month moxifloxacin-based regimen for MDR-TB. Further studies, especially randomized clinical trials, are needed to evaluate regimens including newer drugs, drugs proven to be or highly likely to be efficacious, and all-oral drugs in an effort to eliminate the need for injectable drugs. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 65 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 10 | 15% |
Researcher | 8 | 12% |
Student > Bachelor | 5 | 8% |
Other | 4 | 6% |
Student > Ph. D. Student | 4 | 6% |
Other | 9 | 14% |
Unknown | 25 | 38% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 11 | 17% |
Pharmacology, Toxicology and Pharmaceutical Science | 5 | 8% |
Nursing and Health Professions | 4 | 6% |
Immunology and Microbiology | 4 | 6% |
Biochemistry, Genetics and Molecular Biology | 3 | 5% |
Other | 7 | 11% |
Unknown | 31 | 48% |