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印度南部一家三级医疗中心不同结核病治疗方案的疗效:一项回顾性研究

Efficacy of Various Tuberculosis Treatment Regimens at a Tertiary Health Care Center in South India: A Retrospective Study.

作者信息

Mariah Benedict Raj Purnima, Ganta Gurupavan Kumar, Durai Singh Carmelin, Muthusamy Raman

机构信息

Centre for Global Health Research, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

Department of Biochemistry, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

出版信息

Cureus. 2024 Jul 13;16(7):e64496. doi: 10.7759/cureus.64496. eCollection 2024 Jul.

DOI:10.7759/cureus.64496
PMID:39139313
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11320887/
Abstract

Introduction Tuberculosis (TB) infection continues to be a major chronic infection causing significant morbidity and mortality, despite being a preventable and treatable infectious disease. The emergence and rapid spread of drug-resistant strains of (MTB), the causative bacteria, present a formidable challenge to global TB control efforts. This study aimed to estimate the efficacy of TB treatment regimens and their successful outcomes in a retrospective analysis carried out in a tertiary health care hospital. Materials and methods A retrospective analysis was carried out on the patients diagnosed with TB and treated with different treatment regimens at Saveetha Medical College and Hospital (SMCH), Chennai, India, between November 2022 and July 2023. Data were collected on demographics, clinical characteristics, treatment regimens, and treatment outcomes of the above patients. Results A total of 234 patients were included in the study. The patients were divided according to sex, age, and resistant characteristics; the statistical significance of the collected population was determined. Treatment regimens were followed as either a six-month regimen or nine-month regimen. Conclusion This study provides insights into the comparative efficacy of two TB treatment regimens. The findings highlight the importance of proper analysis of the resistance status of the drug and the initiation of medication over an appropriate period of time.

摘要

引言 尽管结核病是一种可预防和可治疗的传染病,但结核感染仍然是一种主要的慢性感染,导致大量发病和死亡。致病细菌结核分枝杆菌(MTB)耐药菌株的出现和迅速传播,给全球结核病控制工作带来了巨大挑战。本研究旨在通过在一家三级医疗保健医院进行的回顾性分析,评估结核病治疗方案的疗效及其成功结果。

材料与方法 对2022年11月至2023年7月期间在印度金奈萨维塔医学院和医院(SMCH)被诊断为结核病并接受不同治疗方案治疗的患者进行回顾性分析。收集了上述患者的人口统计学、临床特征、治疗方案和治疗结果的数据。

结果 共有234名患者纳入研究。患者根据性别、年龄和耐药特征进行分组;确定所收集人群的统计学意义。治疗方案遵循六个月方案或九个月方案。

结论 本研究为两种结核病治疗方案的比较疗效提供了见解。研究结果强调了正确分析药物耐药状况以及在适当时间开始用药的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc7/11320887/d38cc6e4bdc6/cureus-0016-00000064496-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc7/11320887/d38cc6e4bdc6/cureus-0016-00000064496-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc7/11320887/d38cc6e4bdc6/cureus-0016-00000064496-i01.jpg

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Global adoption of 6-month drug-resistant TB regimens: Projected uptake by 2026.全球采用 6 个月耐药结核病方案:预计到 2026 年的采用率。
PLoS One. 2024 Jan 5;19(1):e0296448. doi: 10.1371/journal.pone.0296448. eCollection 2024.
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Update of drug-resistant tuberculosis treatment guidelines: A turning point.
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Int J Infect Dis. 2023 May;130 Suppl 1:S12-S15. doi: 10.1016/j.ijid.2023.03.013. Epub 2023 Mar 12.
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A 24-Week, All-Oral Regimen for Rifampin-Resistant Tuberculosis.24 周全口服方案治疗利福平耐药结核病。
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Bedaquiline-Pretomanid-Linezolid Regimens for Drug-Resistant Tuberculosis.贝达喹啉-普托马尼德-利奈唑胺方案治疗耐药结核病。
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TB-PRACTECAL: study protocol for a randomised, controlled, open-label, phase II-III trial to evaluate the safety and efficacy of regimens containing bedaquiline and pretomanid for the treatment of adult patients with pulmonary multidrug-resistant tuberculosis.TB-PRACTECAL:一项评估贝达喹啉和普托马尼德方案治疗成人耐多药肺结核的安全性和有效性的随机、对照、开放标签、Ⅱ-Ⅲ 期临床试验研究方案。
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