dc.contributor.author | Nansumba, M. | |
dc.contributor.author | Kumbakumba, E. | |
dc.contributor.author | Orikiriza, P. | |
dc.contributor.author | Bastard, M. | |
dc.contributor.author | Mwanga, J. A. | |
dc.contributor.author | Boum, Y. | |
dc.contributor.author | Beaudrap, P. de | |
dc.contributor.author | Bonnet, M. | |
dc.date.accessioned | 2022-08-16T12:28:00Z | |
dc.date.available | 2022-08-16T12:28:00Z | |
dc.date.issued | 2018 | |
dc.identifier.citation | Nansumba, M., Kumbakumba, E., Orikiriza, P., Bastard, M., Mwanga, J. A., Boum, Y., ... & Bonnet, M. (2018). Treatment outcomes and tolerability of the revised WHO anti-tuberculosis drug dosages for children. The International Journal of Tuberculosis and Lung Disease, 22(2), 151-157. | en_US |
dc.identifier.uri | http://ir.must.ac.ug/xmlui/handle/123456789/2378 | |
dc.description.abstract | Background: In 2010, the World Health Organization (WHO) revised the paediatric dosages of antituberculosis drugs, increasing rifampicin to 15 mg/kg, isoniazid to 10 mg/kg and pyrazinamide to 35 mg/kg. We assessed treatment outcomes, safety and adherence among children treated with the new recommended dosages.
Methods: Prospective cohort of children started on anti-tuberculosis treatment in Uganda with 12 months of follow-up, including alanine aminotransferase (ALT) monitoring. Treatment intake was observed.
Results: Of 144 treated children, 81 were male (56.3%), 106 (73.6%) were aged ,5 years, 30 (22%) had moderate to severe malnutrition and 48 (33.3%) had human immunodeficiency virus infection. Treatment outcomes were as follows: 117 (81.3%) successes, 3 (2.1%) failures, 4 (2.8%) lost to follow-up, 19 (13.2%) deaths and 1 (0.7%) transferred out. There was no relapse. Severe malnutrition (adjusted hazard ratio 8.76, 95% confidence interval [CI] 1.59–48.25) was the only predictor of death. Two serious adverse events were attributed to treatment: one case of increased ALT and one with peripheral neuropathy. Median ALT values at baseline and at weeks 2, 4 and 8
were respectively 24 (interquartile range [IQR] 16–39), 26 (IQR 18–38), 28 (IQR 21–40) and 27 (IQR 19–38) international units/l. Treatment adherence was above 85% on all visits.
Conclusion: We confirm the good tolerability of and adherence to the new treatment recommendations. The increased risk of fatal outcome among severely malnourished children requires attention | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | The International Journal of Tuberculosis and Lung Disease | en_US |
dc.subject | Tuberculosis | en_US |
dc.subject | Treatment | en_US |
dc.subject | Children | en_US |
dc.subject | Mortality | en_US |
dc.title | Treatment outcomes and tolerability of the revised WHO anti-tuberculosis drug dosages for children | en_US |
dc.type | Article | en_US |