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Drug resistance beyond extensively drugresistant tuberculosis: Individual patient data meta-analysis

Author
Migliori, Giovanni Battista; Sotgiu, Giovanni; Gandhi, Neel R.; Falzon, Dennis; DeRiemer, Kathryn; Centis, Rosella; Hollm-Delgado, Maria-Graciela; Palmero, Domingo; Pérez-Guzmán, Carlos; Vargas, Mario H.; D'Ambrosio, Lia; Spanevello, Antonio; Bauer, Melissa; Chan, Edward D.; Schaaf, H. Simon; Keshavjee, Salmaan; Holtz, Timothy H.; The Collaborative Group for Meta-Analysis of Individual Patient Data in MDR-TB; Menzies, Dick; Ahuja, S.; Ashkin, D.; Avendano, M.; Banerjee, R.; Bayona, J.N.; Becerra, M.C.; Benedetti, A.; Burgos, M.; Chiang, C.-Y.; Cox, H.; Dung, N.H.; Enarson, D.; Flanagan, K.; Flood, J.; Garcia-Garcia, L.; Granich, R.M.; Iseman, M.D.; Jarlsberg, L.G.; Kim, H.R.; Koh, W.J.; Lancaster, J.; Lange, C.; De, Lange W.C.M.; Leimane, V.; Leung, C.C.; Li, J.; Mishustin, S.P.; Mitnick, C.D.; Narita, M.; O'Riordan, P.; Pai, M.; Park, S.K.; Pasvol, G.; Pena, J.; Ponce-De-Leon, A.; Quelapio, M.I.D.; Riekstina, V.; Robert, J.; Royce, S.; Seung, K.J.; Shah, L.; Shim, T.S.; Shin, S.S.; Shiraishi, Y.; Sifuentes-Osornio, J.; Strand, M.J.; Tabarsi, P.; Tupasi, T.E.; Van, Altena R.; Van, Der Walt M.; Van, Der Werf T.S.; Viiklepp, P.; Westenhouse, J.; Yew, W.W.; Yim, J.J.
Journal Title
European Respiratory Journal
Publication Year
2013
Topics
Summary

This study compared treatment outcomes of XDR-TB patients with and without additional drug resistance to explore the need for a new definition. Patients with additional resistance beyond XDR-TB showed poorer outcomes, with lower cure rates and higher rates of failure and death. Limitations in current drug susceptibility testing methods preclude the adoption of a useful definition beyond the one currently used for XDR-TB.

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Falzon, D.; Gandhi, N.; Migliori, G.B.; Sotgiu, G.; Cox, Helen S.; Holtz, T.H.; Hollm-Delgado, M.-G.; Keshavjee, S.; DeRiemer, Kathryn; Centis, R.; D'Ambrosio, L.; Lange, Christoph G.; Bauer, M.; the Collaborative Group for Meta-Analysis of Individual Patient Data in MDR-TB; Menzies, D.; Ahuja, S.D.; Ashkin, D.; Avendano, M.; Banerjee, R.; Becerra, M.C.; Benedetti, A.; Burgos, M.; Chan, E.D.; Chiang, C.Y.; Cobelens, F.; Cox, H.; De, Lange W.C.M.; Enarson, D.; Flanagan, K.L.; Flood, J.; Garcia-Garcia, M.L.; Granich, R.M.; Hopewell, P.; Iseman, M.D.; Jarlsberg, L.G.; Kim, H.R.; Koh, W.J.; Lancaster, J.L.; Lange, C.; Leimane, V.; Leung, C.C.; Li, J.; Mitnick, C.D.; Narita, M.; Nathanson, E.; Odendaal, R.; O'Riordan, P.; Pai, M.; Palmero, D.; Park, S.K.; Pasvol, G.; Pena, J.M.; Perez-Guzman, C.; Ponce-De-Leon, A.; Quelapio, M.I.D.; Quy, H.T.; Riekstina, V.; Robert, J.; Royce, S.; Salim, M.; Schaaf, H.S.; Seung, K.J.; Shah, L.; Shean, K.; Shim, T.S.; Shin, S.S.; Shiraishi, Y.; Sifuentes-Osornio, J.; Strand, M.J.; Sung, S.W.; Tabarsi, P.; Tupasi, T.E.; Vargas, M.H.; Van, Altena R.; Van, Der Walt M.L.; Van, Der Werf T.S.; Viiklepp, P.; Westenhouse, J.; Yew, W.W.; Yim, J.J. · 2013

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