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在坦桑尼亚住院的肺结核患者中,抗结核药物性肝毒性并不常见。

Antituberculosis drug-induced hepatotoxicity is uncommon in Tanzanian hospitalized pulmonary TB patients.

机构信息

Department of Pulmonary Diseases, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.

出版信息

Trop Med Int Health. 2010 Feb;15(2):268-72. doi: 10.1111/j.1365-3156.2009.02449.x.

Abstract

Data on antituberculosis drug-induced hepatotoxicity in sub Saharan Africa are limited, probably because liver function tests are not carried out routinely during tuberculosis treatment in most African countries. We monitored the liver function of 112 Tanzanian hospitalized pulmonary tuberculosis patients during the first 2 months (i.e. the intensive phase) of tuberculosis treatment. The rate of hepatotoxicity in our study was 0.9% (95% CI 0.04-4.3%). It is encouraging to find a lower rate of antituberculosis drug-induced hepatotoxicity than one would expect based on the high prevalence of risk factors such as HIV and hepatitis B.

摘要

撒哈拉以南非洲地区有关抗结核药物性肝毒性的数据有限,这可能是因为在大多数非洲国家,结核病治疗期间通常不进行肝功能检查。我们监测了 112 例坦桑尼亚住院肺结核患者在结核病治疗的前 2 个月(即强化期)的肝功能。本研究中肝毒性的发生率为 0.9%(95%CI 0.04-4.3%)。令人鼓舞的是,与人们预期的由于艾滋病毒和乙型肝炎等危险因素的高患病率相比,抗结核药物性肝毒性的发生率较低。

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