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高剂量异烟肼在海地耐多药结核病治疗中的改善结局。

Improved Outcomes With High-dose Isoniazid in Multidrug-resistant Tuberculosis Treatment in Haiti.

机构信息

Center for Global Health, Weill Cornell Medicine, New York City, New York.

The Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections, Port-au-Prince, Haiti.

出版信息

Clin Infect Dis. 2019 Aug 1;69(4):717-719. doi: 10.1093/cid/ciz039.

Abstract

We report outcomes for a cohort of patients with multidrug-resistant tuberculosis who received high-dose isoniazid in Haiti. Patients who received high-dose isoniazid had a faster time to culture conversion and higher odds of successful outcome, despite high-level isoniazid resistance. This suggests high-dose isoniazid may have effectiveness even with phenotypic resistance.

摘要

我们报告了在海地接受高剂量异烟肼治疗的耐多药结核病患者队列的结果。尽管存在高水平异烟肼耐药性,但接受高剂量异烟肼治疗的患者培养转换时间更快,成功结局的可能性更高。这表明高剂量异烟肼即使存在表型耐药性也可能具有疗效。

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