Taipei Medical University

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
C-Y. Chiang
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------>journal_name=European Respiratory J
------>paper_name=Outcome of pulmonary multidrug-resistant tuberculosis: a 6-yr follow-up study.
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------>fullAbstract=A retrospective study was performed to determine factors associated with the outcome of pulmonary multidrug-resistant tuberculosis (MDR-TB) in Taipei, Taiwan. All patients newly diagnosed with pulmonary MDR-TB in a referral centre from 1992-1996 were enrolled and their outcome over the subsequent 6 yrs was determined. A total of 299 patients were identified, comprising 215 (71.9%) males and 84 (28.1%) females with a mean age of 47.3 yrs. The patients received a mean of 3.7 effective drugs. Out of the 299 patients, 153 (51.2%) were cured, 31 (10.4%) failed, 28 (9.4%) died and 87 (29.1%) defaulted. Of the 125 patients receiving second-line drugs with ofloxacin, 74 (59.2%) were cured. Those who received ofloxacin had a lower risk of relapse than those receiving only first-line drugs (hazard ratio (HR) 0.16, 95% confidence interval (CI) 0.03-0.81) and a lower risk of TB-related death than those receiving second-line drugs but not ofloxacin (adjusted HR 0.50, 95% CI 0.31-0.82). In conclusion, multidrug-resistant tuberculosis patients who received ofloxacin were more likely to be cured, and were less likely to die, fail or relapse. The utility of new-generation fluoroquinolones, such as moxifloxacin, in the treatment of multidrug-resistant tuberculosis needs to be evaluated. Default from treatment is a major challenge in the treatment of multidrug-resistant tuberculosis.
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------>authors2=D.A. Enarson
------>authors3=Yu MC
------>authors4=K-J. Bai
------>authors5=R-M. Huang,
------>authors6=C-J. Hsu,J. Suo and T-P. Lin.
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------>authors=C-Y. Chiang
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------>updateTitle=Outcome of pulmonary multidrug-resistant tuberculosis: a 6-yr follow-up study.
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------>publish_year=2006
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------>publish_month=11
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z