Switching to bedaquiline for treatment of rifampicin-resistant tuberculosis in South Africa: A retrospective cohort analysis


Autoři: Tara C. Bouton aff001;  Margaretha de Vos aff002;  Elizabeth J. Ragan aff004;  Laura F. White aff005;  Leonie Van Zyl aff006;  Danie Theron aff006;  C. Robert Horsburgh aff007;  Robin M. Warren aff002;  Karen R. Jacobson aff004
Působiště autorů: Division of Infectious Diseases, Brown University Alpert School of Medicine, Providence, RI, United States of America aff001;  Department of Science and Technology, National Research Foundation Centre of Excellence in Biomedical Tuberculosis Research, South Africa Medical Research Council for Tuberculosis Research, Cape Town, South Africa aff002;  Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa aff003;  Section of Infectious Diseases, Boston University School of Medicine, Boston, MA, United States of America aff004;  Department of Biostatistics Boston University School of Public Health, Boston, MA, United States of America aff005;  Brewelskloof Hospital, Worcester, South Africa aff006;  Department of Medicine, Boston University School of Medicine, Boston, MA, United States of America aff007;  Departments of Epidemiology, Biostatistics and Global Health, Boston University School of Public Health, Boston, MA, United States of America aff008
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0223308

Souhrn

South Africa led the world with guidelines on bedaquiline (BDQ) use as a single drug substitution to manage rifampin resistant tuberculosis regimen toxicity. We examined reasons for giving BDQ in a retrospective cohort: >75% of patients were switched to BDQ for toxicity (ototoxicity or renal dysfunction) rather than drug resistance.

Klíčová slova:

Deafness – Drug screening – Drug therapy – Extensively drug-resistant tuberculosis – HIV – Multi-drug-resistant tuberculosis – Toxicity – Tuberculosis


Zdroje

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Článek vyšel v časopise

PLOS One


2019 Číslo 10