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A systematic review of the cost and cost effectiveness of treatment for multidrug-resistant tuberculosis.抗多药耐药结核病治疗的成本和成本效益的系统评价。
Pharmacoeconomics. 2012 Jan;30(1):63-80. doi: 10.2165/11595340-000000000-00000.
2
Nationwide drug resistance survey of tuberculosis in the Philippines.菲律宾全国结核病耐药性调查。
Int J Tuberc Lung Dis. 2009 Apr;13(4):500-7.
3
Risk factors and mortality associated with default from multidrug-resistant tuberculosis treatment.耐多药结核病治疗中断相关的危险因素及死亡率
Why do patients with DR-TB do not complete their treatment? Findings of a qualitative study from Pakistan.
为什么耐多药结核病患者不完成治疗?来自巴基斯坦的定性研究结果。
BMJ Open Respir Res. 2024 Feb 26;11(1):e002186. doi: 10.1136/bmjresp-2023-002186.
4
Bactericidal and sterilizing activity of novel regimens combining bedaquiline or TBAJ-587 with GSK2556286 and TBA-7371 in a mouse model of tuberculosis.新型联合方案贝达喹啉或 TBAJ-587 联合 GSK2556286 和 TBA-7371 在结核分枝杆菌感染小鼠模型中的杀菌和灭菌活性。
Antimicrob Agents Chemother. 2024 Apr 3;68(4):e0156223. doi: 10.1128/aac.01562-23. Epub 2024 Feb 20.
5
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PLoS One. 2023 Sep 7;18(9):e0289222. doi: 10.1371/journal.pone.0289222. eCollection 2023.
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PLoS One. 2021 Dec 23;16(12):e0261152. doi: 10.1371/journal.pone.0261152. eCollection 2021.
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Hum Resour Health. 2021 Apr 26;19(1):56. doi: 10.1186/s12960-021-00600-4.
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Sci Rep. 2019 Dec 27;9(1):20030. doi: 10.1038/s41598-019-56553-1.
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Ann N Y Acad Sci. 2008;1136:1-11. doi: 10.1196/annals.1425.009. Epub 2007 Oct 22.
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Default from tuberculosis treatment programme in Sagamu, Nigeria.尼日利亚萨加穆结核病治疗项目中的违约情况。
Niger J Med. 2006 Jan-Mar;15(1):63-7. doi: 10.4314/njm.v15i1.37119.
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Clinical outcome of individualised treatment of multidrug-resistant tuberculosis in Latvia: a retrospective cohort study.拉脱维亚耐多药结核病个体化治疗的临床结局:一项回顾性队列研究
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DOTS-Plus for multidrug-resistant tuberculosis in the Philippines: global assistance urgently needed.菲律宾针对耐多药结核病的强化直接督导短程化疗:迫切需要全球援助。
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患者和项目因素对耐多药结核病治疗中停药的影响。

Impact of patient and program factors on default during treatment of multidrug-resistant tuberculosis.

机构信息

Tropical Disease Foundation, Manila, The Philippines.

出版信息

Int J Tuberc Lung Dis. 2012 Jul;16(7):955-60. doi: 10.5588/ijtld.11.0502. Epub 2012 May 7.

DOI:10.5588/ijtld.11.0502
PMID:22584124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4616015/
Abstract

SETTING

In the Philippines, programmatic treatment of drug-resistant tuberculosis (TB) was initiated by the Tropical Disease Foundation in 1999 and transitioned to the National TB Program in 2006.

OBJECTIVE

To determine patient and socio-demographic characteristics associated with default, and the impact of patient support measures on default.

DESIGN

Retrospective cohort analysis of 583 MDR-TB patients treated from 1999 to 2006.

RESULTS

A total of 88 (15%) patients defaulted from treatment. The median follow-up time for patients who defaulted was 289 days (range 1-846). In multivariate analysis adjusted for age, sex and previous TB treatment, receiving a greater number of treatment drugs (≥ 5 vs. 2-3 drugs, HR 7.2, 95%CI 3.3-16.0, P < 0.001) was significantly associated with an increased risk of default, while decentralization reduced the risk of default (HR 0.3, 95%CI 0.2-0.7, P < 0.001).

CONCLUSION

Improving access to treatment for MDR-TB through decentralization of care to centers near the patient's residence reduced the risk of default. Further research is needed to evaluate the feasibility, impact and cost-effectiveness of decentralized care models for MDR-TB treatment.

摘要

背景

菲律宾热带病基金会于 1999 年启动了耐药结核病(TB)的方案性治疗,并于 2006 年过渡到国家结核病规划。

目的

确定与患者失访相关的患者和社会人口学特征,并评估患者支持措施对失访的影响。

设计

1999 年至 2006 年治疗的 583 例耐多药结核病(MDR-TB)患者的回顾性队列分析。

结果

共有 88 名(15%)患者失访。失访患者的中位随访时间为 289 天(范围 1-846 天)。在调整年龄、性别和既往结核病治疗的多变量分析中,接受更多治疗药物(≥5 种与 2-3 种药物相比,HR7.2,95%CI3.3-16.0,P<0.001)与更高的失访风险显著相关,而分散化治疗降低了失访风险(HR0.3,95%CI0.2-0.7,P<0.001)。

结论

通过将治疗服务分散到患者居住地附近的中心,改善耐多药结核病患者获得治疗的机会,降低了失访的风险。需要进一步研究来评估耐多药结核病治疗分散化治疗模式的可行性、影响和成本效益。