研究印度北部一家三级医疗中心的耐多药结核病 (MDR) 患者在较短疗程中的情况

A. Gautam, Prashant Yadav, Ashish Kumar Gupta, Adesh Kumar, Shashank Kumar Rai, Naresh Pal Singh
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引用次数: 0

摘要

达米安基金会在孟加拉国进行的研究发现,缩短疗程对治疗 MDR-TB 患者很有效,因此我们计划研究服用缩短疗程的 MDR-TB 患者的概况,以便在印度探讨与该疗程相关的各种因素。这是一项前瞻性纵向研究,于 2020 年 1 月至 2021 年 12 月在呼吸内科进行。根据纳入标准和排除标准,共确定了 177 名 MDR/ RR 肺结核患者,其中 84 名患者被排除在外,因此我们的研究对象包括剩余的 93 名患者,这些患者填写了研究方案、接受了治疗(注射式短期疗程),并根据国家消除结核病计划的耐药结核病方案管理指南进行了随访调查。患者中有 55 名男性(59%)和 38 名女性(41%),平均年龄为 31±15.11 岁(4-82 岁不等)。在 93 名患者中,27 人(29%)吸烟,25 人(27%)酗酒,最常见的症状是发烧 92 人(98.9%)。最常见的合并症是糖尿病 11(11.9%)。在 93 名患者中,76.3%(71 人)治愈,23.7%(22 人)未能治愈。吸烟与治疗结果之间的关系具有统计学意义(P 值=0.013)。治疗结果与既往适当治疗史之间的关系具有显著性(P=0.016)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
To study the profile of multi-drug resistant tuberculosis (MDR) TB patients on shorter regimen at a tertiary care Centre of North India
The effectiveness of shorter regimen for the treatment of MDR-TB patients was found in the study done by Damien Foundation in Bangladesh, therefore we planned to study the profile MDR-TB patients who were taking shorter regimen so that various factors can be explored related to this regimen in Indian scenario.This was a prospective longitudinal study done in respiratory medicine department between January 2020 to December 2021. There were 177 patients of MDR/ RR pulmonary TB were identified and as per inclusion criteria and based on exclusion criteria 84 patients were excluded therefore our study population comprised of 93 remaining patients those who filled the study protocol, their treatment (Injectable shorter regimen ) and follow up investigations done as per programmatic management of drug resistant TB guideline of National TB elimination programme. There were 55(59%) males and 38(41%) were females and mean age of patient was 31±15.11 years (range 4-82 years). Out of 93 patients 27(29%) were smokers and 25(27%) were alcoholics and the most common symptom was fever 92(98.9%). The most common comorbidity was diabetes mellitus 11(11.9%). The most common minor side effect seen was GI intolerance in 41(44.1%) patients.Out of 93 patients 76.3% (71) were cured and 23.7% (22) patients were failed to cure. The association between smoking and treatment outcome was statistically significant (p value=0.013). The association between treatment outcome and previous history of adequate treatment was found to be significant (p=0.016).
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