Time to initiation of multidrug-resistant tuberculosis treatment and its relation with outcome in a high incidence district in Lima, Peru
- PMID: 25429916
- PMCID: PMC4863977
- DOI: 10.1111/tmi.12430
Time to initiation of multidrug-resistant tuberculosis treatment and its relation with outcome in a high incidence district in Lima, Peru
Abstract
Objective: To determine the time from diagnosis to start of multidrug resistant tuberculosis (MDR TB) treatment in Lima, Peru.
Methods: We studied new smear-positive TB adults that were started on MDR TB treatment or that were switched to it between June 2008 and December 2011.
Results: Time from the first positive smear to MDR-TB treatment was >30 days in 35% (13/37) of patients. Among the 27% (24/88) of patients that switched to MDR-TB treatment, time from the last dose of a drug-susceptible regimen was >30 days.
Conclusion: Start of and switching to MDR TB treatment is still delayed.
Keywords: Peru; Perú; Pérou; Tiempo hasta el inicio del tratamiento; Tuberculosis; multidrug resistant; multirresistente; multirésistante; temps jusqu'au traitement; time to treatment; tuberculose; tuberculosis.
© 2014 John Wiley & Sons Ltd.
References
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- Clouse K, Page-Shipp L, Dansey H, et al. Implementation of Xpert MTB/RIF for routine point-of-care diagnosis of tuberculosis at the primary care level. South African Medical Journal. 2012;102:805–807. - PubMed
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- Ministerio de Salud. Estrategia Sanitaria Nacional para la Prevención y Control de la Tuberculosis. [accessed 18 June 2013];Informe Operacional 2012. 2010 Available at: www.minsa.gob.pe.
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