Shortest possible acceptable effective chemotherapy in ambulatory patients with pulmonary tuberculosis. Part II. Results during the 24 months after the end of chemotherapy

Am Rev Respir Dis. 1984 Jun;129(6):1016-7. doi: 10.1164/arrd.1984.129.6.1016.

Abstract

Efficacy of two 4.5-month regimens (3 RSZH / S2H2Z2 and 3 RSZH /RH) and one 3-month regimen (3 RSZH ) in the management of pulmonary tuberculosis is reported (see table 1 for definition of regimen abbreviations). Even when the patients were ambulatory and outpatient attendance was required for supervised drug administration, drug compliance was high (87%). Bacillary sterilization was achieved in 99% of the patients at 3 months. During first year follow-up after cessation of chemotherapy, 6% of the patients receiving the 3 RSZH regimen, 7% of the patients receiving the 3 RSZH / S2H2Z2 regimen, and 2% of the patients receiving the 3 RSZH / R2H2 regimen experienced relapse. During second year follow-up, relapse was observed in only 1 patient receiving the 3 RSZH / S2H2Z2 regimen. The patients who relapsed usually had drug-susceptible strains at the time of relapse. Regression of pulmonary lesions continued even after the cessation of chemotherapy.

MeSH terms

  • Ambulatory Care*
  • Antitubercular Agents / administration & dosage*
  • Drug Administration Schedule
  • Drug Therapy, Combination
  • Ethionamide / administration & dosage
  • Follow-Up Studies
  • Humans
  • India
  • Isoniazid / administration & dosage
  • Patient Compliance
  • Pyrazinamide / administration & dosage
  • Random Allocation
  • Rifampin / administration & dosage
  • Streptomycin / administration & dosage
  • Time Factors
  • Tuberculosis, Pulmonary / drug therapy*

Substances

  • Antitubercular Agents
  • Pyrazinamide
  • Ethionamide
  • Isoniazid
  • Rifampin
  • Streptomycin