OBJECTIVES: To study the efficacy and safety of Category III DOTS treatment (intermittent thrice-weekly rifampicin [RMP], isoniazid [INH] and pyrazinamide for 2 months, followed by RMP and INH for 4 months) under India's Revised National Tuberculosis Control Programme in patients with uncomplicated small unilateral pleural effusion (<1500 ml). DESIGN: This prospective, multicentre, observational study recruited 351 patients between 2006 and 2010. Patients were regularly followed up clinically as well as with ultrasound examination of the chest. RESULTS: Successful outcome (clinical response with complete resolution on ultrasound examination at 6 months) was seen in 274 patients (78.1%). Efficacy was 88.9% (excluding defaulters), and 94% among those completing follow-up as per protocol. None of the patients received corticosteroids. Other outcomes included treatment extension (n = 26, 7.4%), default (n = 43, 12.2%), treatment failure (n = 3, 0.9%) and death (n = 3, 0.9%). Seventy-nine mild/moderate adverse events and one treatment-related serious adverse event were noted; one patient developed recurrent drug-induced hepatotoxicity. Two patients (0.7%) had relapse/re-infection at 24 months follow-up. CONCLUSION: Intermittent thrice-weekly treatment for 6 months with three drugs in the intensive phase is effective and safe for unilateral small pleural effusion in immunocompetent patients. Although Category III no longer exists in the programme, the results are reassuring for intermittent treatment in extra-pulmonary TB under programme conditions.
OBJECTIVES: To study the efficacy and safety of Category III DOTS treatment (intermittent thrice-weekly rifampicin [RMP], isoniazid [INH] and pyrazinamide for 2 months, followed by RMP and INH for 4 months) under India's Revised National Tuberculosis Control Programme in patients with uncomplicated small unilateral pleural effusion (<1500 ml). DESIGN: This prospective, multicentre, observational study recruited 351 patients between 2006 and 2010. Patients were regularly followed up clinically as well as with ultrasound examination of the chest. RESULTS: Successful outcome (clinical response with complete resolution on ultrasound examination at 6 months) was seen in 274 patients (78.1%). Efficacy was 88.9% (excluding defaulters), and 94% among those completing follow-up as per protocol. None of the patients received corticosteroids. Other outcomes included treatment extension (n = 26, 7.4%), default (n = 43, 12.2%), treatment failure (n = 3, 0.9%) and death (n = 3, 0.9%). Seventy-nine mild/moderate adverse events and one treatment-related serious adverse event were noted; one patient developed recurrent drug-induced hepatotoxicity. Two patients (0.7%) had relapse/re-infection at 24 months follow-up. CONCLUSION: Intermittent thrice-weekly treatment for 6 months with three drugs in the intensive phase is effective and safe for unilateral small pleural effusion in immunocompetent patients. Although Category III no longer exists in the programme, the results are reassuring for intermittent treatment in extra-pulmonary TB under programme conditions.
Authors: Fazlkhan Abdugapparov; Ruzanna Grigoryan; Nargiza Parpieva; Sherali Massavirov; Anvar Riskiyev; Jamshid Gadoev; Mariana Buziashvili; Nestani Tukvadze; Arax Hovhannesyan; Andrei Dadu Journal: Int J Environ Res Public Health Date: 2021-05-27 Impact factor: 4.614
Authors: Surendra K Sharma; Alladi Mohan; L S Chauhan; J P Narain; P Kumar; D Behera; K S Sachdeva; Ashok Kumar; Priyanka Agarwal; N T Awadh; Avi Bansal; S Baruah; Pranab Baruwa; V H Balasangameshwara; Rani Balasubramanian; A K Bhardwaj; Salil Bhargav; Sarabjit Chadha; V K Chaddha; Manpreet Chhatwal; A L Da Costa; D P Dash; Jaydip Dep; Saroj Dhingra; S Dhooria Harmeet; T R Frieden; Anil Garg; Reuben Granich; Vinay Gulati; Deepak Gupta; Dheeraj Gupta; K B Gupta; K N Gupta; A K Janmeja; M S Jawahar; S L Jethani; S K Jindal; K R John; O P Kalra; V P Kalra; A T Kannan; S Kayshap; G Keshav Chander; S S Khushwa; R S Kushwaha; Vinod Kumar; B Laskar; K R Leela Itty Amma; A T Leuva; K Maitra Malay; A M Mesquita; Thomas Mathew; Yamuna Mundade; Radha Munje; Somil Nagpal; C Nagaraja; Sanjeev Nair; O R Narayanan; C N Paramasivan; Malik Parmar; Rajendra Prasad; A C Phukan; Raj Prasanna; Anil Purty; Ranjani Ramachandran; Rajeswari Ramachandran; C Ravindran; H R Reddy Raveendra; S Sahu; Rohit Sarin; Soumya Sarkar; K C Sarma; P Saxena; Shruti Sehgal; N Sharath; Geetanjali Sharma; Nandini Sharma; P K Shridhar; R S Shukla; Om Singh; N Tombi Singh; Varinder Singh; Rupak Singla; Neena Sinha; Pranay Sinha; Sanjay Sinha; Rajesh Solanki; A Sreenivas; S Srinath; Kandi Subhakar; J C Suri; Palash Talukdar; Jamie Tonsing; S P Tripathy; Preetish Vaidyanathan; R P Vashist; K Venu Journal: Indian J Med Res Date: 2013-02 Impact factor: 2.375