Outcomes of bedaquiline-containing regimen in the treatment of adults with drug-resistant tuberculosis in a tertiary care center in Rajasthan

Submitted: April 26, 2023
Accepted: June 6, 2023
Published: August 7, 2023
Abstract Views: 560
PDF: 240
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The emergence of drug-resistant strains of Mycobacterium tuberculosis has become a significant public health problem and has led to a setback in the efforts to end tuberculosis (TB) worldwide. The longer duration, heavier pill load, and higher toxicity profile of drug-resistant TB regimens compared to those for drug-susceptible TB lead to reduced adherence and worse treatment results, including mortality. This study was conducted to estimate treatment outcomes and adverse effects in patients with drug-resistant TB on a bedaquiline-containing regimen. Patients after the pre-treatment evaluation were enrolled in a bedaquiline-containing regimen. These patients were followed up for 18 months, and the final outcome was assessed along with the adverse effects. It was found that 49 (84.4%) patients achieved culture conversion by 3 months, 54 (93.1%) achieved culture conversion by 6 months, 52 (83.81%) had favorable outcomes (cured, treatment completed), and 10 had unfavorable outcomes (died, lost to follow-up, failed). Coupled with gradually increasing trends in success rates since 2012, lesser failure rates and fewer concerns regarding grave adverse effects are a silver lining in the cloud of increasing burden and widening resistance patterns. More funding has to be directed towards ensuring adherence and finding high-risk individuals to expedite the achievement of sustainable development goals.

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Citations

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Ethics Approval

The study protocol was approved by the Institutional Ethical Review Committee - No F.3/Acad/Ethical clearance/2021/51 dated 3.05.2021.

How to Cite

Mary Prince, Roshni, Suman Khangarot, Qazi Faizanul Haque, Anish Mittal, Ramdhan Somani, and Mansha Grover. 2023. “Outcomes of Bedaquiline-Containing Regimen in the Treatment of Adults With Drug-Resistant Tuberculosis in a Tertiary Care Center in Rajasthan”. Monaldi Archives for Chest Disease 94 (2). https://doi.org/10.4081/monaldi.2023.2618.

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