Sureyyapasa Chest Disease and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.
Antimicrob Agents Chemother. 2013 Nov;57(11):5740-2. doi: 10.1128/AAC.01345-13. Epub 2013 Aug 26.
Plasma isoniazid and rifampin concentrations, but not pyrazinamide and ethambutol concentrations, were decreased by about 50% (P < 0.05) in diabetic pulmonary tuberculosis patients. The prevalences of subnormal plasma isoniazid, rifampin, pyrazinamide, and ethambutol concentrations were 49% or 100% (P < 0.01), 66% or 100% (P < 0.05), 30% or 50% (P = 0.198), and 32% or 21% (P = 0.742) in nondiabetic or diabetic tuberculosis patients, respectively. These data show that plasma concentrations of isoniazid and rifampin were greatly reduced in diabetic tuberculosis patients.
糖尿病肺结核患者的血浆异烟肼和利福平浓度降低约 50%(P<0.05),但吡嗪酰胺和乙胺丁醇浓度没有降低。未接受糖尿病治疗的肺结核患者和接受糖尿病治疗的肺结核患者的异常血浆异烟肼、利福平、吡嗪酰胺和乙胺丁醇浓度的患病率分别为 49%或 100%(P<0.01)、66%或 100%(P<0.05)、30%或 50%(P=0.198)和 32%或 21%(P=0.742)。这些数据表明,糖尿病肺结核患者的血浆异烟肼和利福平浓度大大降低。