[耐多药结核病治疗中不良反应的频率和管理]。

Kekkaku : [Tuberculosis] Pub Date : 2017-01-01
Yuka Sasaki, Takashi Yoshiyama, Masao Okumura, Kouzo Morimoto, Maki Miyamoto, Irina, Kouzo Yoshimori, Atsuyuki Kurashima, Hideo Ogata, Hajime Gotoh
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引用次数: 0

摘要

[目的]了解耐多药结核病(MDR-TB)和广泛耐药结核病(XDR- TB)患者抗菌药物的不良反应。[结果]回顾性分析对2010年至2014年接受治疗的66例耐多药结核病患者进行了评估。观察到各种不良反应,包括心理反应、中枢神经系统毒性、眼毒性、周围神经毒性、胃肠道反应、血液学异常、肌肉骨骼不良反应和内分泌紊乱。然而,在本观察中,没有因抗结核药物不良反应而死亡的病例。[结论]耐多药结核和广泛耐药结核治疗药物有限,耐多药结核和广泛耐药结核药物不良反应尚不清楚。因此,治疗可能因不良事件处理不当而失败。耐多药结核病和广泛耐药结核病应由所有抗结核药物不良反应专家进行治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[THE FREQUENCIES AND MANAGEMENT OF ADVERSE REACTIONS IN MULTI-DRUG RESISTANT TUBERCULOSIS TREATMENT].

[Objectives] To investigate the adverse reactions of antimicrobial drugs in multidrug-resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR- TB) patients. [Results] Sixty-six patients with MDR-TB who have been treated from 2010 through 2014 were evaluated in the retro- spective analysis. Variety of adverse reactions including psychological reaction, central nervous system toxicity, ophthalmic toxicity, peripheral neurotoxicity, gastrointestinal reactions, hematologic abnormalities, musculoskeletal adverse effects, and endocrine disorder, were observed. However, there was no fatal case due to the adverse reactions of the anti-tubercu- losis drugs in this observation. [Conclusions] Drugs for MDR-TB and XDR-TB treatment are limited and the adverse reactions of drugs for MDR-TB and XDR-TB are not well-known. Therefore, the treatment may fail due to inappropriate management of adverse events. MDR-TB and XDR-TB should be treated by the experts of the adverse reactions of all anti-tuberculosis drugs.

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