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印度抗耐药结核病的BPaLM治疗方案:当务之急

BPaLM Regimen Against Drug-Resistant Tuberculosis in India: A Need of the Hour.

作者信息

Yadav Sankalp

机构信息

Medicine, Shri Madan Lal Khurana Chest Clinic, New Delhi, IND.

出版信息

Cureus. 2024 Sep 1;16(9):e68421. doi: 10.7759/cureus.68421. eCollection 2024 Sep.

DOI:10.7759/cureus.68421
PMID:39360094
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11445631/
Abstract

India has a high burden of drug-resistant tuberculosis (DR-TB) cases. The management of this severe form of TB is associated with a number of issues like long treatment durations, high pill burden, and multiple adverse drug reactions. Efforts are on through various research studies and trials for finding solutions to the issues linked to the current drug regimens against drug-resistant tuberculosis. One such remarkable development is the introduction of bedaquiline, pretomanid, linezolid, and moxifloxacin (BPaLM)-based regimens to fight against two of the most severe forms of tuberculosis, i.e., multidrug- and extensively drug-resistant tuberculosis (MDR-TB and XDR-TB). This editorial throws light on this newer regimen and discusses the same in the Indian context.

摘要

印度耐药结核病(DR-TB)病例负担沉重。这种严重形式的结核病管理存在诸多问题,如治疗时间长、服药负担重以及多种药物不良反应。目前正在通过各种研究和试验努力寻找解决与当前耐药结核病药物治疗方案相关问题的办法。一项显著进展是引入了基于贝达喹啉、普瑞玛尼、利奈唑胺和莫西沙星(BPaLM)的治疗方案,以对抗两种最严重的结核病形式,即耐多药结核病和广泛耐药结核病(MDR-TB和XDR-TB)。这篇社论阐述了这种新的治疗方案,并在印度背景下对其进行了讨论。

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BPaLM Regimen Against Drug-Resistant Tuberculosis in India: A Need of the Hour.印度抗耐药结核病的BPaLM治疗方案:当务之急
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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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本文引用的文献

1
Savings from the introduction of BPaL and BPaLM regimens at the country level.在国家层面引入BPaL和BPaLM治疗方案所带来的节省。
IJTLD Open. 2024 Jul 1;1(7):314-319. doi: 10.5588/ijtldopen.24.0213. eCollection 2024 Jul.
2
Correction: Global adoption of 6-month drug-resistant TB regimens: Projected uptake by 2026.更正:6个月耐药结核病治疗方案的全球采用情况:到2026年的预计采用率
PLoS One. 2024 Jan 31;19(1):e0298250. doi: 10.1371/journal.pone.0298250. eCollection 2024.
3
Randomised trial to evaluate the effectiveness and safety of varying doses of linezolid with bedaquiline and pretomanid in adults with pre-extensively drug-resistant or treatment intolerant/non-responsive multidrug-resistant pulmonary tuberculosis: study protocol.一项评价不同剂量利奈唑胺联合贝达喹啉和普托马尼治疗预广泛耐药或不耐受/无应答的耐多药肺结核成人患者的有效性和安全性的随机试验:研究方案。
BMJ Open. 2022 Aug 29;12(8):e058606. doi: 10.1136/bmjopen-2021-058606.
4
Starting an All-Oral Longer Regimen in a Primary Multidrug-Resistant Pulmonary Tuberculosis Patient at a District Tuberculosis Center for the First Time: A Rare Case.首次在区级结核病中心对一名原发性耐多药肺结核患者启动全口服更长疗程治疗:一例罕见病例
Cureus. 2022 Jul 22;14(7):e27146. doi: 10.7759/cureus.27146. eCollection 2022 Jul.