دورية أكاديمية
Effectiveness of Preventive Therapy for Persons Exposed at Home to Drug-Resistant Tuberculosis, Karachi, Pakistan
العنوان: | Effectiveness of Preventive Therapy for Persons Exposed at Home to Drug-Resistant Tuberculosis, Karachi, Pakistan |
---|---|
المؤلفون: | Amyn A. Malik, Neel R. Gandhi, Timothy L. Lash, Lisa M. Cranmer, Saad B. Omer, Junaid F. Ahmed, Sara Siddiqui, Farhana Amanullah, Aamir J. Khan, Salmaan Keshavjee, Hamidah Hussain, Mercedes C. Becerra |
المصدر: | Emerging Infectious Diseases, Vol 27, Iss 3, Pp 805-812 (2021) |
بيانات النشر: | Centers for Disease Control and Prevention, 2021. |
سنة النشر: | 2021 |
المجموعة: | LCC:Medicine LCC:Infectious and parasitic diseases |
مصطلحات موضوعية: | drug-resistant tuberculosis infection, contact investigation, preventive therapy, fluoroquinolone, prophylaxis, latent infection, Medicine, Infectious and parasitic diseases, RC109-216 |
الوصف: | In Karachi, Pakistan, a South Asian megacity with a high prevalence of tuberculosis (TB) and low HIV prevalence, we assessed the effectiveness of fluoroquinolone-based preventive therapy for drug-resistant (DR) TB exposure. During February 2016–March 2017, high-risk household contacts of DR TB patients began a 6-month course of preventive therapy with a fluoroquinolone-based, 2-drug regimen. We assessed effectiveness in this cohort by comparing the rate and risk for TB disease over 2 years to the rates and risks reported in the literature. Of 172 participants, TB occurred in 2 persons over 336 person-years of observation. TB disease incidence rate observed in the cohort was 6.0/1,000 person-years. The incidence rate ratio ranged from 0.29 (95% CI 0.04–1.3) to 0.50 (95% CI 0.06–2.8), with a pooled estimate of 0.35 (95% CI 0.14–0.87). Overall, fluoroquinolone-based preventive therapy for DR TB exposure reduced risk for TB disease by 65%. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1080-6040 1080-6059 |
Relation: | https://wwwnc.cdc.gov/eid/article/27/3/20-3916_article; https://doaj.org/toc/1080-6040; https://doaj.org/toc/1080-6059 |
DOI: | 10.3201/eid2703.203916 |
URL الوصول: | https://doaj.org/article/28e08dc51d704d12a4c9a483bbd49b31 |
رقم الأكسشن: | edsdoj.28e08dc51d704d12a4c9a483bbd49b31 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 10806040 10806059 |
---|---|
DOI: | 10.3201/eid2703.203916 |