Shorter All-Oral Regimen for MDR-TB

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20 Questions

Which patients are eligible for a shorter all-oral regimen for multidrug- or rifampin-resistant tuberculosis (MDR/RR TB)?

Patients with confirmed fluoroquinolone-susceptible disease

What is the main toxicity associated with the novel regimen BPaL?

Peripheral neuropathy

How long was the course of treatment with the BPaL regimen in the study?

6 months

What percentage of patients in the study achieved cure with the BPaL regimen?

90%

What is the purpose of lobectomy or wedge resection in the treatment of tuberculosis?

To improve pulmonary reserve

What is the role of bedaquiline in the BPaL regimen?

To improve cure rate

Which of the following is a criterion for offering a shorter all-oral regimen to patients with MDR/RR TB?

Availability of all drugs in the regimen

What is the main adverse effect of linezolid in the BPaL regimen?

Myelosuppression

What is the purpose of the shorter MDR-TB regimen?

To reduce treatment duration

How many patients were enrolled in the study of the BPaL regimen?

109

Which drug was approved by the FDA in August 2019 for the treatment of a population of patients with MDR-TB caused by a strain with additional resistance to a fluoroquinolone or a second-line injectable drug?

Pretomanid

What did the WHO suggest about the use of the new 6-9 month pretomanid regimen in late 2019?

It should not be used until more information is available on safety and efficacy.

Which drug was used at a reduced daily dose and/or for a shorter period of time in a dose-blinded study reported in 2021?

Linezolid

What is the name of the regimen being tested by the Global Alliance that is composed of bedaquiline, pretomanid, moxifloxacin, and pyrazinamide?

BPaMZ

In a phase 2B trial, MDR-TB patients treated with the BPaMZ regimen became culture-negative within 8 weeks of treatment how many times faster than drug-sensitive TB patients treated with the standard regimen?

3 times

What is the aim of testing the BPaMZ regimen for both MDR-TB and drug-susceptible TB?

To reduce treatment duration to 2 months for MDR-TB and 4 months for drug-susceptible TB

Where is the ideal setting for providing care to seriously ill MDR-TB patients?

Specialized centers

When should hospitalization be considered for MDR-TB patients?

When patients are in critical condition

What is associated with significant reductions in mortality risk and AIDS-related events in HIV-associated TB patients?

Treatment of HIV-associated TB with anti-TB drugs and simultaneous use of ART

What is the reduction in mortality rates associated with early initiation of ART during anti-TB treatment?

34-68%

"Criteria for Offering a Shorter All-Oral Regimen for Multidrug-Resistant Tuberculosis (MDR-TB)" - Test your knowledge on the criteria for offering a shorter all-oral regimen to patients with confirmed MDR-TB. Learn about the absence of resistance to specific drugs, history of exposure to second-line drugs, and more.

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