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At Long Last: Short, All-Oral Regimens for Multidrug-Resistant Tuberculosis in the United States.


ABSTRACT: Multidrug-resistant tuberculosis (MDR-TB) has historically required longer treatment regimens that were associated with higher unfavorable outcomes and side effects rates compared with drug susceptible TB (DS-TB). During the last decade, several studies conducted mostly in high-incidence settings have shown that MDR-TB can be successfully treated using all-oral shorter regimens of 6- to 9-month duration. In this article, we review the evolution of MDR-TB treatment from the early long regimens with injectables agents (IAs), followed by the shorter regimens with IA, to the groundbreaking, all-oral, 6- to 9-month regimens. Finally, we propose a framework for implementation of the shorter all-oral regimens in the United States.

SUBMITTER: Sinha P 

PROVIDER: S-EPMC10135426 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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At Long Last: Short, All-Oral Regimens for Multidrug-Resistant Tuberculosis in the United States.

Sinha Pranay P   Jacobson Karen R KR   Horsburgh C Robert CR   Acuña-Villaorduña Carlos C  

Open forum infectious diseases 20230403 4


Multidrug-resistant tuberculosis (MDR-TB) has historically required longer treatment regimens that were associated with higher unfavorable outcomes and side effects rates compared with drug susceptible TB (DS-TB). During the last decade, several studies conducted mostly in high-incidence settings have shown that MDR-TB can be successfully treated using all-oral shorter regimens of 6- to 9-month duration. In this article, we review the evolution of MDR-TB treatment from the early long regimens wi  ...[more]

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