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结核病治疗的不良反应:一项综合文献综述

The Adverse Effects of Tuberculosis Treatment: A Comprehensive Literature Review.

作者信息

Mereškevičienė Rūta, Danila Edvardas

机构信息

Institute of Clinical Medicine, Clinic of Chest Diseases, Immunology and Allergology, Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.

出版信息

Medicina (Kaunas). 2025 May 17;61(5):911. doi: 10.3390/medicina61050911.

Abstract

Tuberculosis remains a significant public health challenge globally. The emergence of multidrug-resistant Mycobacterium tuberculosis strains presents one of the biggest hurdles in tuberculosis management. Both first- and second-line tuberculosis drugs are associated with common adverse reactions, which can lead to treatment interruptions and decreased adherence. In this article, we review the most commonly used drugs for the treatment of tuberculosis, focusing on the adverse reactions they may cause. We will examine the frequency and timeline of adverse drug reactions involving gastrointestinal, cardiac, neurological, nephrological, and cutaneous systems. Identifying patients at risk of developing those reactions is crucial for healthcare providers to implement monitoring strategies and manage complications effectively. In the review, we present the data about risk factors, management recommendations, and drug discontinuation rates as a result of side effects.

摘要

结核病仍然是全球重大的公共卫生挑战。耐多药结核分枝杆菌菌株的出现是结核病管理中最大的障碍之一。一线和二线抗结核药物都伴有常见的不良反应,这可能导致治疗中断和依从性下降。在本文中,我们回顾了治疗结核病最常用的药物,重点关注它们可能引起的不良反应。我们将研究涉及胃肠道、心脏、神经、肾脏和皮肤系统的药物不良反应的频率和发生时间。识别有发生这些反应风险的患者对于医疗保健提供者实施监测策略和有效管理并发症至关重要。在综述中,我们展示了关于风险因素、管理建议以及因副作用导致的停药率的数据。

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