SETTING: Eight operational locations for the Revised National Tuberculosis Control Programme in six Indian states. OBJECTIVE: To assess the 6-month efficacy of an intermittent thrice-weekly directly observed treatment (DOT) regimen for tuberculous peripheral adenopathy and the need for prolongation of treatment to 9 months for non-resolution of lymphadenopathy. DESIGN:Patients aged >5 years with tuberculous lymphadenopathy were included in the study. Patients were evaluated for resolution at repeat visits following treatment. Those with poor resolution at 6 months were randomised to extended treatment up to 9 months or observation without additional treatment. RESULTS:Resolution of lymphadenopathy was observed at the end of 6 months in 517/551 (93.8%) patients. There was a significant difference in response among patients with and those without the presence of systemic symptoms. There was no association between treatment response and number, size, site, consistency and matting of lymphadenopathy. No differences in response were seen in the remaining 34 patients with or without extended treatment. CONCLUSION: The operational efficacy of 6-month thrice-weekly DOT for peripheral tubercular lymphadenopathy was satisfactory. There was no evidence of additional benefits of prolonging treatment to 9 months.
RCT Entities:
SETTING: Eight operational locations for the Revised National Tuberculosis Control Programme in six Indian states. OBJECTIVE: To assess the 6-month efficacy of an intermittent thrice-weekly directly observed treatment (DOT) regimen for tuberculous peripheral adenopathy and the need for prolongation of treatment to 9 months for non-resolution of lymphadenopathy. DESIGN:Patients aged >5 years with tuberculous lymphadenopathy were included in the study. Patients were evaluated for resolution at repeat visits following treatment. Those with poor resolution at 6 months were randomised to extended treatment up to 9 months or observation without additional treatment. RESULTS: Resolution of lymphadenopathy was observed at the end of 6 months in 517/551 (93.8%) patients. There was a significant difference in response among patients with and those without the presence of systemic symptoms. There was no association between treatment response and number, size, site, consistency and matting of lymphadenopathy. No differences in response were seen in the remaining 34 patients with or without extended treatment. CONCLUSION: The operational efficacy of 6-month thrice-weekly DOT for peripheral tubercular lymphadenopathy was satisfactory. There was no evidence of additional benefits of prolonging treatment to 9 months.
Authors: Yun Jae Seol; Se Yoon Park; Shi Nae Yu; Tark Kim; Eun Jung Lee; Min Huok Jeon; Eun Ju Choo; Tae Hyong Kim Journal: Infect Chemother Date: 2017-05-24
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