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Chinese Journal of Antituberculosis ›› 2018, Vol. 40 ›› Issue (2): 168-172.doi: 10.3969/j.issn.1000-6621.2018.02.011

• Original Articles • Previous Articles     Next Articles

Investigation on application of cycloserine in chemotherapy for multidrug-resistant tuberculosis

Yang LI,Fei WANG(),Li-min WU,Min ZHU,Gui-qing HE,Feng SUN,Xiao-meng WANG,Wen-hong. ZHANG   

  1. *Department of Infectious Disease, Huashan Hospital, Fudan University, Shanghai 200040, China
  • Received:2018-01-15 Online:2018-02-10 Published:2018-03-14
  • Contact: Yang LI E-mail:feiwang@cdc.zj.cn

Abstract: Objective

To evaluate the application of cycloserine in the treatment of multidrug-resistant tuberculosis (MDR-TB) and to provide a basis for further optimization of the chemotherapy for MDR-TB patients in China.

Methods

The clinical data, including treatment outcomes, of 143 MDR-TB patients in Hangzhou Red Cross Hospital and Wenzhou Central Hospital from 2014 to 2016 were collected. All patients received cycloserine-containing standard treatment according to the World Health Organization Treatment Guidelines for Drug-resistant Tuberculosis, 2016 Update. The data such as treatment outcome, sputum negative conversion rate, and adverse events associated with drug were summarized.

Results

Among the 143 patients treated with cycloserine-containing regimen, the overall treatment success rate achieved 69.2% (99/143). 81.1% (116/143) of patients had sputum culture conversion in the intensive phase. A total of 13 cases (9.1%, 13/143) reported adverse events that were considered to be related with cycloserine, including 7 cases who complained of dizziness or headache, 3 cases of limb numbness, 2 cases of limb twitch and 1 case of depression. All adverse events were relieved by dose reduction or symptomatic treatment.

Conclusion

Cycloserine-containing standard therapy has high overall success rate and well tolerance for MDR-TB patients, which is worth to be applied in clinical.

Key words: Cycloserine, Tuberculosis, pulmonary, Tuberculosis, multidrug-resistant, Treatment outcome