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Antituberculous therapy

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Tuberculosis
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Abstract

In 1946, the introduction of streptomycin (the first effective antituberculous agent) had a dramatic effect on patients with pulmonary tuberculosis (TB) and those with the previously uniformly fatal miliary and meningeal forms [1]. Prior to the introduction of this therapy, approximately half of patients with pulmonary TB died. The mortality dropped to 7% with the introduction of specific anti-TB therapy. The combination of streptomycin and para-aminosalicylic acid (PAS) was found to be more efficacious than treatment with either agent alone as well as being able to suppress the emergence of resistance.

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References

  1. Des Prez, R.M. and Heim, C.R. (1990) Mycobacterium tuberculosis, in Principles and Practice of Infectious Diseases (eds G.L. Mandell, R.G. Douglas and J.E. Bennett), Churchill-Livingstone, New York, pp. 1877–906.

    Google Scholar 

  2. Brudney, K. and Dobkin, J. (1991) Resurgent tuberculosis in New York City: human immunodeficiency virus, homelessness, and the decline of tuberculosis control programs. Am Rev Respir Dis, 144, 745–9.

    Article  PubMed  CAS  Google Scholar 

  3. Wolinsky, E. (1993) Statement of the tuberculosis committee of the Infectious Diseases Society of America. Clin Infect Dis, 16, 627–8.

    Article  PubMed  CAS  Google Scholar 

  4. Watson, J.M. (1993) Tuberculosis in Britain today: notifications are no longer falling. Brit Med J, 306, 221–2.

    Article  PubMed  CAS  Google Scholar 

  5. Joseph, S. (1993) Tuberculosis, again. Am J Publ Hlth, 83, 647–8.

    Article  CAS  Google Scholar 

  6. Collison, G., Hindle, R., Kennedy, M. et al. (1993) Tuberculosis in Northland. N Z Med J, 106, 43–4.

    PubMed  CAS  Google Scholar 

  7. Reichman, L.B. (1993) Fear, embarrassment and grief: the tuberculosis epidemic and public health. Am J Publ Hlth, 83, 639–40.

    Article  CAS  Google Scholar 

  8. Bloom, B.R. and Murray, C.J.L. (1992) Tuberculosis: commentary on a re-emergent killer. Science, 257, 1055–64.

    Article  PubMed  CAS  Google Scholar 

  9. McName, D. (1993) United against TB. Lancet, 341, 1145.

    Article  Google Scholar 

  10. Dooley, S.W., Jarvis, W.R., Marton, W.J. and Snider, D.E. (1992) Multidrugresistant tuberculosis. Ann Intern Med, 117, 257–9.

    Article  PubMed  CAS  Google Scholar 

  11. Small, P.M., Shafer, R.W., Hopewell, P.C. et al. (1993) Exogenous reinfection with multidrug-resistant Mycobacterium tuberculosis in patients with advanced HIV infection. N Engl J Med, 328, 1137–44.

    Article  PubMed  CAS  Google Scholar 

  12. Nitta, A.T., Iseman, M.D., Newell, J.D. et al. (1993) Ten year experience with artificial pneumoperitoneum for end stage, drug resistant pulmonary tuberculosis. Clin Infect Dis, 16, 219–22.

    Article  PubMed  CAS  Google Scholar 

  13. Peloquin, C.A. (1992) Shortages of anti-mycobacterial drugs. N Engl J Med, 326, 714.

    Article  PubMed  CAS  Google Scholar 

  14. American Thoracic Society (1986) Treatment of tuberculosis and tuberculosis infection in adults and children. Am Rev Respir Dis, 134, 355–63.

    Google Scholar 

  15. Jindani, A., Aber, V.R., Edwards, E.A. and Mitchison, D.A. (1980) The early bactericidal activity of drugs in patients with pulmonary tuberculosis. Am Rev Respir Dis, 121, 939–49.

    PubMed  CAS  Google Scholar 

  16. Centers for Disease Control and Prevention (1993) Initial therapy for tuberculosis in the era of multidrug resistance. Recommendations of the Advisory Council for the Elimination of Tuberculosis. MMWR, 42 (RR-7), 1–8.

    Google Scholar 

  17. Wolinsky, E. (1991) Antimycobacterial drugs, in Infectious Diseases (eds S.L. Gorbach, J.G. Bartlett and N. Blacklow), W.B. Saunders, Philadelphia, pp. 313–19.

    Google Scholar 

  18. Bobrowitz, I.D. and Robins, D.E. (1967) Ethambutol-isoniazid versus PASisoniazid in original treatment of pulmonary tuberculosis. Am Rev Respir Dis, 96, 428–38.

    PubMed  CAS  Google Scholar 

  19. Second East African/British Medical Research Council (1974) Controlled clinical trial of our 6 month regimens of chemotherapy for pulmonary tuberculosis. Lancet, 2, 1100–4.

    Google Scholar 

  20. Fox, W. and Mitchison, D.C. (1975) Short course chemotherapy for tuberculosis. Am Rev Respir Dis, 111, 325–53.

    PubMed  CAS  Google Scholar 

  21. Snider, D.E., Graszyk, J., Bek, E. and Rogowski, J. (1984) Supervised six months treatment of newly diagnosed pulmonary tuberculosis using isoniazid, rifampin and pyrazinamide with and without streptomycin. Am Rev Respir Dis, 130, 1091–4.

    PubMed  CAS  Google Scholar 

  22. Cohn, D.H., Catlin, R.J., Peterson, K.L. et al. (1990) A 62-dose, 6 month therapy for pulmonary and extrapulmonary tuberculosis. Ann Intern Med, 112, 407–15.

    Article  PubMed  CAS  Google Scholar 

  23. Hong Kong Chest Service/British Medical Research Council (1991) Controlled trial of 2, 4, and 6 months of pyrazinamide in 6 months, three times weekly regimens for smear positive pulmonary tuberculosis, including an assessment of a combined preparation of isoniazid, rifampin and pyrazinamide. Am Rev Respir Dis, 143, 700–6.

    Article  Google Scholar 

  24. Singapore Tuberculosis Service/British Medical Research Council (1988) Five year follow-up of a clinical trial of three 6 months regimens of chemotherapy given intermittently in the continuation phase in the treatment of pulmonary tuberculosis. Am Rev Respir Dis, 137, 1147–50.

    Article  Google Scholar 

  25. British Thoracic Society (1984) A controlled trial for six months chemotherapy in pulmonary tuberculosis: results during the 36 months after the end of chemotherapy and beyond. Br J Dis Chest, 78, 330–6.

    Article  Google Scholar 

  26. Hong Kong Chest Service/British Medical Research Council (1987) Five year follow-up of a controlled trial of five 6 month regimens of chemotherapy for pulmonary tuberculosis. Am Rev Respir Dis, 136, 1339–42.

    Article  Google Scholar 

  27. Prabhaker, R. (1982) Fully intermittent six month regimens for pulmonary tuberculosis in South India. Bull Int Union Tuberc, 62, 21–3.

    Google Scholar 

  28. Anastasatu, C., Bercea, O. and Corlan, E. (1982) Pilot study of short course 3 plus 3 intermittent chemotherapy in previously untreated smear positive tuberculosis. Bull Int Union Tuberc, 52, 1–19.

    Google Scholar 

  29. Singapore Tuberculosis Service/British Medical Research Council (1991) Assessment of a daily combined preparation of isoniazid, rifampin and pyrazinamide in a controlled trial of three 6 month regimens for smear-positive pulmonary tuberculosis. Am Rev Repir Dis, 143, 707–12.

    Article  Google Scholar 

  30. Combs, D.L., O’Brien, R.J. and Geiter, L.J. (1990) USPHS tuberculosis short course chemotherapy trial 21: Effectiveness, toxicity and acceptibility. Ann Intern Med, 112, 397–406.

    Article  PubMed  CAS  Google Scholar 

  31. Snider, D.E., Zierski, M., Graczyk, J. et al. (1986) Short course tuberculosis chemotherapy studies conducted in Poland during the past decade. Eur J Respir Dis, 68, 12–18.

    PubMed  Google Scholar 

  32. Bobrowitz, I.D. (1980) Ethambutol compared to rifampin in original treatment of pulmonary tuberculosis. Lung, 157, 117–25.

    Article  PubMed  CAS  Google Scholar 

  33. Davidson, P.T. and Le, H.Q. (1992) Drug treatment of tuberculosis — 1992. Drugs, 43, 653–71.

    Article  Google Scholar 

  34. Weissler, J.C. (1993) Tuberculosis — immunopathogenesis and therapy. Am J Med Sci, 305, 52–65.

    Article  PubMed  CAS  Google Scholar 

  35. Weinberger, S.E. (1993) Recent advances in pulmonary medicine. N Engl J Med, 328, 1462–70.

    Article  PubMed  CAS  Google Scholar 

  36. Sumartojo, E. (1993) When tuberculosis treatment fails: a social behavioral account of patient adherence. Am Rev Respir Dis, 147, 131–120.

    Article  Google Scholar 

  37. Sbarbaro, J.A. and Johnson, S. (1968) Tuberculosis chemotherapy for recalcitrant outpatients administered twice weekly. Am Rev Respir Dis, 96, 895–902.

    Google Scholar 

  38. Samarasinghe, D., Hawken, M. and Harrison, A.C. (1992) Intermittent supervised treatment of tuberculosis at Green Lane Hospital, 1987–8. N Z J Med, 105, 243–5.

    CAS  Google Scholar 

  39. McDonald, R.J., Memon, A.M. and Reichman, L.B. (1982) Successful supervised ambulatory management of tuberculosis treatment failures. Ann Intern Med, 96, 297–303.

    Article  PubMed  CAS  Google Scholar 

  40. Centers for Disease Control (1993) Approaches to improving adherence to antituberculous therapy — South Carolina and New York 1986–1991. MMWR, 42, 74–6.

    Google Scholar 

  41. Iseman, M.D., Cohn, D.L. and Sbarbaro, J.A. (1993) Directly observed treatment of tuberculosis: we can’t afford not to try it. N Engl J Med, 328, 576–8.

    Article  PubMed  CAS  Google Scholar 

  42. American Thoracic Society/CDC (1992) Control of tuberculosis in the United States. Am Rev Respir Dis, 146, 1623–33.

    Article  Google Scholar 

  43. Gostin, L.O. (1993) Controlling the resurgent tuberculosis epidemic: 50 state survey of TB statutes and proposals for reform. JAMA, 269, 255–61.

    Article  PubMed  CAS  Google Scholar 

  44. Annas, G.J. (1993) Control of tuberculosis — the law and the public’s health. N Engl J Med, 328, 585–8.

    Article  PubMed  CAS  Google Scholar 

  45. Berning, S.E., Huitt, G.A., Iseman, M.D. and Peloquin, C.A. (1992) Malabsorption of antituberculous medication by a patient with AIDS. N Engl J Med, 327, 1817–18.

    Article  PubMed  CAS  Google Scholar 

  46. Glassroth, J., Robins, A.G. and Snider, D.E. (1980) Tuberculosis in the 1980’s. N Engl J Med, 302, 1441–50.

    Article  PubMed  CAS  Google Scholar 

  47. McGowan, J.E., Chesney, P.J., Crossley, K.R. and LaForce, F.M. (1992) Guidelines for the use of systemic glucocorticosteroids in the management of selected infections. J Infect Dis, 165, 1–13.

    Article  PubMed  Google Scholar 

  48. Strang, J.I.G., Gibson, D.G., Nunn, A.J. et al. (1987) Controlled trial of prednisolone as adjuvant in treatment of tuberculous constrictive pericarditis. Lancet, 2, 1418–22.

    Article  PubMed  CAS  Google Scholar 

  49. O’Toole, R.D., Thornton, G.F., Mukherjee, M.K. and Nath, R.L. (1969) Dexamethasone in tuberculous meningitis: relationship of cerebrospinal fluid effects to therapeutic efficacy. Ann Intern Med, 70, 39–48.

    Article  PubMed  Google Scholar 

  50. Alzeer, A.H. and FitzGerald, J.M. (1993) Corticosteroids and tuberculosis: risks and use as adjunct therapy. Tubercle, 74, 6–11.

    CAS  Google Scholar 

  51. Snider, D.E., Layde, R.M., Johnson, M.W. and Lyle, M.A. (1980) Treatment of tuberculosis during pregnancy. Am Rev Respir Dis, 122, 65–73.

    PubMed  Google Scholar 

  52. Snider, D.E. and Powell, K.E. (1984) Should women taking anti-tuberculous drugs breast feed? Arch Intern Med, 144, 589–92.

    Article  PubMed  Google Scholar 

  53. Rieder, H.L., Snider, D.E. and Cauthen, G.M. (1990) Extrapulmonary tuberculosis in the United States. Am Rev Respir Dis, 141, 347–51.

    Article  PubMed  CAS  Google Scholar 

  54. Daley, C.L., Small, P.M., Schechter, G.F. et al. (1992) An outbreak of tuberculosis with accelerated progression among persons infected with the human immunodeficiency virus: an analysis using restriction-fragment-length polymorphisms. N Engl J Med, 326, 231–35.

    Article  PubMed  CAS  Google Scholar 

  55. Rich, A.R. and McCordock, H.A. (1933) Pathogenesis of tuberculous meningitis. Bull Johns Hopkins Hosp, 52, 5–37.

    Google Scholar 

  56. Jacobs, R.F., Sunakorn, P., Chotpitayasunonah, T. et al. (1992) Intensive short course chemotherapy for tuberculous meningitis. Ped Infect Dis J, 11, 194–8.

    Article  CAS  Google Scholar 

  57. Lam, K.S.L., Sham, M.M.K., Tam, S.C.F. et al. (1993) Hypopituitarism after tuberculous meningitis in childhood. Ann Intern Med, 118, 701–6.

    Article  PubMed  CAS  Google Scholar 

  58. Chambers, S.T., Record, C., Hendrickse, W.A. et al. (1984) Paradoxic expansion of intracranial tuberculomas during chemotherapy. Lancet, 2, 181–3.

    Article  PubMed  CAS  Google Scholar 

  59. Teoh, R., Humphries, M.J. and O’Mahony, S.G. (1987) Symptomatic intracranial tuberculoma developing during treatment of tuberculosis: A report of 10 patients and review of the literature. Quart J Med, 63, 449–60.

    PubMed  CAS  Google Scholar 

  60. Malone, J.L., Paparello, S., Rickman, L.S. et al. (1990) Intracranial tuberculoma developing during therapy for tuberculous meningitis. West J Med, 152, 188–90.

    PubMed  CAS  Google Scholar 

  61. Watson, J.D.G., Shnier, R.C. and Seale, J.P. (1993) Central nervous system tuberculosis in Australia: A report of 22 cases. Med J Aust, 158, 408–13.

    PubMed  CAS  Google Scholar 

  62. Harder, E., Al-Kawzi, M.Z. and Carney, P. (1983) Intracranial tuberculoma: conservative management. Am J Med, 74, 570–6.

    Article  PubMed  CAS  Google Scholar 

  63. MacDonell, A.H., Baird, R.W. and Bronze, M.S. (1990) Intramedullary tuberculomas of the spinal cord: case report and review. Rev Infect Dis, 12, 432–9.

    Article  Google Scholar 

  64. Munt, P.W. (1972) Miliary tuberculosis in the chemotherapy era: A clinical review in 69 American adults. Medicine, 51, 139–55.

    Article  PubMed  CAS  Google Scholar 

  65. Epstein, D.M., Klein, L.R. and Albelda, S.M. (1987) Tuberculous pleural effusions. Chest, 91, 106–9.

    Article  PubMed  CAS  Google Scholar 

  66. Fancourt, G.J., Ebden, P., Garner, P. et al. (1986) Bone tuberculosis: results and experience in Leicestershire. Br J Dis Chest, 80, 265–72.

    Article  PubMed  CAS  Google Scholar 

  67. Gow, J.G. (1971) Genitourinary tuberculosis. A study of the disease in one unit over a period of 24 years. Ann R Coll Surg Engl, 49, 50–70.

    PubMed  CAS  Google Scholar 

  68. Simon, H.B., Weinstein, A.J., Pasternak, M.S. et al. (1977) Genitourinary tuberculosis. Clinical features in a general hospital population. Am J Med, 63, 410–20.

    Article  PubMed  CAS  Google Scholar 

  69. Singh, M.M., Bhargava, A.N. and Jair, K.P. (1969) Tuberculous peritonitis. An evaluation of pathogenic mechanisms, diagnostic procedures and therapeutic measures. N Engl J Med, 281, 1091–4.

    Article  PubMed  CAS  Google Scholar 

  70. Bastani, B., Shariatzadeh, M.R. and Dehdashti, F. (1985) Tuberculous peritonitis — report of 30 cases and review of the literature. Quart J Med, 56, 549–57.

    PubMed  CAS  Google Scholar 

  71. Summers, G.D. and McNicol, M.W. (1980) Tuberculosis of superficial lymph nodes. Br J Dis Chest, 74, 369–73.

    Article  PubMed  CAS  Google Scholar 

  72. Menitove, S. and Harris, H.W. (1987) Miliary tuberculosis, in Tuberculosis (ed. D. Schlossberg), Springer Verlag, New York, pp. 179–91.

    Google Scholar 

  73. Nayyar, V., Ramakrishna, B., Mathew G. et al. (1993) Response to antituberculous chemotherapy after splenectomy. J Int Med, 233, 81–3.

    Article  CAS  Google Scholar 

  74. Kim, J.H., Langston, A.A. and Gallis, H.A. (1990) Miliary tuberculosis: Epidemiology, clinical manifestations, diagnosis and outcome. Rev Infect Dis, 12, 583–90.

    Article  PubMed  CAS  Google Scholar 

  75. Styblo, K. (1980) Recent advances in epidemiological research in tuberculosis. Adv Tuberc Res, 20, 1–63.

    PubMed  CAS  Google Scholar 

  76. Rose, D.N., Schecter, C.B., Fahs, M.C. and Silver, A.L. (1988) Tuberculosis prevention: cost-effectiveness analysis of isoniazid chemoprophylaxis. Am J Prev Med, 4, 102–9.

    PubMed  CAS  Google Scholar 

  77. Ferebee, S.H. (1970) Controlled chemoprophylaxis trials in tuberculosis: A general review. Adv Tuberc Res, 17, 28–106.

    Google Scholar 

  78. Moulding, T.S., Redeker, A.G. and Kanel, G.C. (1989) Twenty isoniazid-associated deaths in one state. Am Rev Respir Dis, 140, 700–5.

    Article  PubMed  CAS  Google Scholar 

  79. Iseman, M.D. and Miller, B. (1989) If a tree falls in the middle of a forest: isoniazid and hepatitis. Am Rev Respir Dis, 140, 575–6.

    Article  PubMed  CAS  Google Scholar 

  80. Centers for Disease Control (1993) Severe INH-associated hepatitis — New York, 1991–1993. MMWR, 43, 545–7.

    Google Scholar 

  81. Centers for Disease Control (1990) Screening for tuberculosis and tuberculous infection in high-risk populations, and the use of preventive therapy for tuberculous infection in the United States: Recommendation of the Advisory Committee for Elimination of Tuberculosis. MMWR, 39 (RR-8), 9–12.

    Google Scholar 

  82. Ferebee, S.H. and Mount, F.W. (1962) Tuberculosis morbidity in a controlled trial of the prophylactic use of isoniazid among household contacts. Am Rev Respir Dis, 85, 490–521.

    PubMed  CAS  Google Scholar 

  83. Comstock, G.W., Livesay, V.T. and Woolpert, S.F. (1974) The prognosis of a positive tuberculin reaction in childhood and adolescence. Am J Epidemiol, 99, 131–8.

    PubMed  CAS  Google Scholar 

  84. Anonymous (1990) Perinatal prophylaxis of tuberculosis. Lancet, 2, 1479–80.

    Google Scholar 

  85. Curtis, H.M., Leck, I. and Bamford, F.N. (1984) Incidence of childhood tuberculosis after neonatal BCG vaccination. Lancet, 1, 145–8.

    Article  PubMed  CAS  Google Scholar 

  86. International Union Against Tuberculosis (1982) Efficacy of various durations of isoniazid preventive therapy for tuberculosis: five years of follow-up in the IUAT trial. Bull WHO, 60, 555–64.

    Google Scholar 

  87. Snider, D.E., Caras, C.F. and Koplan, J.P. (1986) Preventive therapy with isoniazid. Cost effectiveness of different duration therapy. JAMA, 255, 1579–83.

    Article  PubMed  Google Scholar 

  88. Byrd, R.B., Fisk, D.E., Roethe, R.A. et al. (1979) Tuberculosis in oriental immigrants: a study in military dependents. Chest, 76, 136–9.

    Article  PubMed  CAS  Google Scholar 

  89. Centers for Disease Control (1992) Prevention and control of tuberculosis in migrant farm workers, recommendations of the Advisory Council for the Elimination of Tuberculosis. MMWR, 41 (RR-10), 9–11.

    Google Scholar 

  90. Geisler, P.J., Nelson, K.E., Cristen, R.G. and Moses, V.K. (1986) Tuberculosis in physicians: a continuing problem. Am Rev Respir Dis, 133, 773–8.

    Google Scholar 

  91. Barret-Connor, E. (1979) The epidemiology of tuberculosis in physicians. JAMA, 241, 33–8.

    Article  Google Scholar 

  92. Dooley, S.W., Villarino, M.E., Lawrence, M. et al. (1992) Nosocomial transmission of tuberculosis in a hospital unit for HIV-infected patients. JAMA, 267, 2631–5.

    Article  Google Scholar 

  93. Hong Kong Chest Service/British Medical Research Council (1992) A doubleblind placebo-controlled clinical trial of three antituberculosis chemoprophylaxis regimens in patients with silicosis in Hong Kong. Am Rev Respir Dis, 145, 36–41.

    Article  Google Scholar 

  94. Ji, B., Truffot-Pernot, C., Lacroix, C. et al. (1993) Effectiveness of rifampin, rifabutin, and rifapentine for preventive therapy of tuberculosis in mice. Am Rev Respir Dis,148, 1541–8.

    Article  PubMed  CAS  Google Scholar 

  95. Lecoeur, H.F., Truffot-Pernot, C. and Grosset, J.H. (1989) Experimental shortcourse preventive therapy of tuberculosis with rifampin and pyrazinamide. Am Rev Respir Dis, 140, 1189–93.

    Article  PubMed  CAS  Google Scholar 

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Gradon, J.D. (1995). Antituberculous therapy. In: Lutwick, L.I. (eds) Tuberculosis. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-2869-6_12

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