Chinese Journal of Antituberculosis ›› 2021, Vol. 43 ›› Issue (9): 893-898.doi: 10.3969/j.issn.1000-6621.2021.09.007
• Original Articles • Previous Articles Next Articles
DING Cai-hong, XIONG Yu(), WANG Qing, GAO Xu-sheng, HAO Yan
Received:
2021-07-15
Online:
2021-09-10
Published:
2021-09-07
Contact:
XIONG Yu
E-mail:yiyiruguo1@163.com
DING Cai-hong, XIONG Yu, WANG Qing, GAO Xu-sheng, HAO Yan. Study on the early efficacy and safety of the regimen containing bedaquiline in the treatment of multidrug-resistant pulmonary tuberculosis[J]. Chinese Journal of Antituberculosis, 2021, 43(9): 893-898. doi: 10.3969/j.issn.1000-6621.2021.09.007
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因素 | 良好结局 (72例) | 不良结局 (7例) | χ2值 | P值 |
---|---|---|---|---|
年龄组(岁) | 10.330 | 0.001 | ||
<45 | 59(96.7) | 2(3.3) | ||
≥45 | 13(72.2) | 5(27.8) | ||
体质量指数(BMI) | 6.119 | 0.013 | ||
≥18.5 | 53(96.4) | 2(3.6) | ||
<18.5 | 19(79.2) | 5(20.8) | ||
性别 | 1.070 | 0.301 | ||
男性 | 48(88.9) | 6(11.1) | ||
女性 | 24(96.0) | 1(4.0) | ||
耐药类型 | ||||
单纯耐多药 | 37(92.5) | 3(7.5) | 0.186 | 0.666 |
广泛耐药 | 10(83.3) | 2(16.7) | 1.068 | 0.301 |
准广泛耐药 | 25(92.6) | 2(7.4) | 0.107 | 0.743 |
抗结核治疗史 | 3.768 | 0.052 | ||
有 | 46(86.8) | 7(13.2) | ||
无 | 26(100.0) | 0(0.0) | ||
居住地 | 1.207 | 0.272 | ||
农村 | 47(88.7) | 6(11.3) | ||
城市 | 25(96.2) | 1(3.8) | ||
并发症 | 0.415 | 0.520 | ||
有 | 32(88.8) | 4(11.2) | ||
无 | 40(93.0) | 3(7.0) | ||
并发糖尿病 | 0.034 | 0.855 | ||
是 | 23(92.0) | 2(8.0) | ||
否 | 49(90.7) | 5(9.3) |
[1] |
Preiss L, Langer JD, Yildiz Ö, et al. Structure of the mycobacterial ATP synthase Fo rotor ring in complex with the anti-TB drug bedaquiline. Sci Adv, 2015, 1(4):e1500106. doi: 10.1126/sciadv.1500106.
doi: 10.1126/sciadv.1500106 URL |
[2] |
Schnippel K, Ndjeka N, Maartens G, et al. Effect of bedaquiline on mortality in South African patients with drug-resistant tuberculosis:a retrospective cohort study. Lancet Respir Med, 2018, 6(9):699-706. doi: 10.1016/S2213-2600(18)30235-2.
doi: 10.1016/S2213-2600(18)30235-2 URL |
[3] |
Ahmad N, Ahuja SD, Akkerman OW, et al. Treatment correlates of successful outcomes in pulmonary multidrug-resistant tuberculosis: an individual patient data meta-analysis. Lancet, 2018, 392(10150):821-834. doi: 10.1016/S0140-6736(18)31644-1.
doi: 10.1016/S0140-6736(18)31644-1 URL |
[4] |
Conradie F, Diacon AH, Ngubane N, et al. Treatment of highly drug-resistant pulmonary tuberculosis. N Engl J Med, 2020, 382(10):893-902. doi: 10.1056/NEJMoa1901814.
doi: 10.1056/NEJMoa1901814 URL |
[5] |
中国防痨协会. 耐药结核病化学治疗指南(2015). 中国防痨杂志, 2015, 37(5):421-469. doi: 10.3969/j.issn.1000-6621.2015.05.001.
doi: 10.3969/j.issn.1000-6621.2015.05.001 |
[6] |
Duan H, Chen X, Li Z, et al. Clofazimine improves clinical outcomes in multidrug-resistant tuberculosis: a randomized controlled trial. Clin Microbiol Infect, 2019, 25(2):190-195. doi: 10.1016/j.cmi.2018.07.012.
doi: 10.1016/j.cmi.2018.07.012 URL |
[7] |
Diacon AH, Dawson R, von Groote-Bidlingmaier F, et al. 14-day bactericidal activity of PA-824, bedaquiline, pyrazinamide, and moxifloxacin combinations: a randomised trial. Lancet, 2012, 380(9846):986-993. doi: 10.1016/S0140-6736(12)61080-0.
doi: 10.1016/S0140-6736(12)61080-0 URL |
[8] |
Borisov SE, Dheda K, Enwerem M, et al. Effectiveness and safety of bedaquiline-containing regimens in the treatment of MDR- and XDR-TB: a multicentre study. Eur Respir J, 2017, 49(5):1700387. doi: 10.1183/13993003.00387-2017.
doi: 10.1183/13993003.00387-2017 URL |
[9] |
Pontali E, Sotgiu G, D’Ambrosio L, et al. Bedaquiline and multidrug-resistant tuberculosis: a systematic and critical analysis of the evidence. Eur Respir J, 2016, 47(2):394-402. doi: 10.1183/13993003.01891-2015.
doi: 10.1183/13993003.01891-2015 URL |
[10] |
Zhang L, Pang Y, Yu X, et al. Linezolid in the treatment of extensively drug-resistant tuberculosis. Infection, 2014, 42(4):705-711. doi: 10.1007/s15010-014-0632-2.
doi: 10.1007/s15010-014-0632-2 pmid: 24902521 |
[11] |
van Heeswijk RP, Dannemann B, Hoetelmans RM. Bedaquiline: a review of human pharmacokinetics and drug-drug interactions. J Antimicrob Chemother, 2014, 69(9):2310-2318. doi: 10.1093/jac/dku171.
doi: 10.1093/jac/dku171 pmid: 24860154 |
[12] |
Pontali E, Sotgiu G, Tiberi S, et al. Cardiac safety of bedaquiline: a systematic and critical analysis of the evidence. Eur Respir J, 2017, 50(5):1701462. doi: 10.1183/13993003.01462-2017.
doi: 10.1183/13993003.01462-2017 URL |
[13] |
谢莉, 高静韬, 马丽萍, 等. 含贝达喹啉方案治疗耐多药肺结核对患者心电图QT间期的影响. 中国防痨杂志, 2020, 42(7):687-694. doi: 10.3969/j.issn.1000-6621.2020.07.009.
doi: 10.3969/j.issn.1000-6621.2020.07.009 |
[14] |
Kim JH, Kwon OJ, Kim YS, et al. Bedaquiline in multidrug-resistant tuberculosis treatment: Safety and efficacy in a Korean subpopulation. Respir Investig, 2020, 58(1):45-51. doi: 10.1016/j.resinv.2019.08.004.
doi: 10.1016/j.resinv.2019.08.004 URL |
[15] |
李凤丽, 阚晓红, 李琦, 等. MDR-TB患者采用不同化疗方案所致药物不良反应及治疗转归研究. 中国防痨杂志, 2018, 40(8):805-809. doi: 10.3969/j.issn.1000-6621.21018.08.006.
doi: 10.3969/j.issn.1000-6621.21018.08.006 |
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