Efficacy and safety of a four-drug fixed-dose combination regimen versus separate drugs for treatment of pulmonary tuberculosis : a systematic review and meta-analysis

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MetadadosDescriçãoIdioma
Autor(es): dc.creatorLima, Glaura Regina de Castro e Caldo-
Autor(es): dc.creatorSilva, Emília Vitória da-
Autor(es): dc.creatorBatista, Pérola de Oliveira Magalhães-
Autor(es): dc.creatorNaves, Janeth de Oliveira Silva-
Data de aceite: dc.date.accessioned2024-07-22T11:53:46Z-
Data de disponibilização: dc.date.available2024-07-22T11:53:46Z-
Data de envio: dc.date.issued2018-01-04-
Data de envio: dc.date.issued2018-01-04-
Data de envio: dc.date.issued2017-06-
Fonte completa do material: dc.identifierhttp://repositorio.unb.br/handle/10482/30832-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1016/j.bjm.2016.12.003-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/capes/791385-
Descrição: dc.descriptionIntroduction: tuberculosis, particularly multi-drug-resistant tuberculosis, is a major cause of morbidity and mortality worldwide. To the best of our knowledge, however, no study to date has assessed the combined use of the four available drugs for tuberculosis treatment, which is an issue of great clinical relevance. Objective: to determine whether the four-drug fixed-dose combination is safer or more effective than separate drugs for treatment of pulmonary tuberculosis. Methods: a systematic review of the literature was performed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Results: in pooled results from five randomized controlled trials with 3502 patients across Africa, Asia, and Latin America, four-drug fixed-dose combination therapy was no better than separate drugs therapy in terms of culture conversion after 2 and 6 months of treatment. There were no significant differences between the groups in overall incidence of adverse effects. However, the meta-analytic measure (log odds ratio) revealed that separate drugs treatment had a 1.65 [exp (0.5) = 1.65] increased chance of gastrointestinal adverse effects compared to four-drug fixed-dose combination treatment. Conclusions: the reviewed studies showed that four-drug fixed-dose combination therapy provides greater patient comfort by reducing the number of pills and the incidence of gastrointestinal adverse effects, as well as simplifying pharmaceutical management at all levels.-
Descrição: dc.descriptionFaculdade UnB Ceilândia (FCE)-
Descrição: dc.descriptionCurso de Farmácia (FCE-FAR)-
Formato: dc.formatapplication/pdf-
Idioma: dc.languageen-
Publicador: dc.publisherSociedade Brasileira de Microbiologia-
Direitos: dc.rightsAcesso Aberto-
Direitos: dc.rightsBrazilian Journal of Microbiology - This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivative License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium provided the original work is properly cited and the work is not changed in any way (CC BY NC ND 4.0). Fonte: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1517-83822017000200198&lng=en&nrm=iso. Acesso em: 17 jan. 2018.-
Palavras-chave: dc.subjectTuberculose-
Palavras-chave: dc.subjectEficácia-
Palavras-chave: dc.subjectTuberculose - tratamento-
Título: dc.titleEfficacy and safety of a four-drug fixed-dose combination regimen versus separate drugs for treatment of pulmonary tuberculosis : a systematic review and meta-analysis-
Aparece nas coleções:Repositório Institucional – UNB

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