Improved Outcomes With High-dose Isoniazid in Multidrug-resistant Tuberculosis Treatment in Haiti

Author:

Walsh Kathleen F1ORCID,Vilbrun Stalz Charles2,Souroutzidis Ariadne3,Delva Sobieskye2,Joissaint Guy2,Mathurin Laurent2,Ocheretina Oksana1,Cremieux Pierre3,Pape Jean William2,Koenig Serena P4

Affiliation:

1. Center for Global Health, Weill Cornell Medicine, New York City, New York

2. The Haitian Group for the Study of Kaposi’s Sarcoma and Opportunistic Infections, Port-au-Prince, Haiti

3. Analysis Group, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts

4. Division of Global Health Equity, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts

Abstract

Abstract We report outcomes for a cohort of patients with multidrug-resistant tuberculosis who received high-dose isoniazid in Haiti. Patients who received high-dose isoniazid had a faster time to culture conversion and higher odds of successful outcome, despite high-level isoniazid resistance. This suggests high-dose isoniazid may have effectiveness even with phenotypic resistance.

Funder

National Institutes of Health

Fogarty International Center

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

Reference10 articles.

1. A randomised controlled trial of high-dose isoniazid adjuvant therapy for multidrug-resistant tuberculosis;Katiyar;Int J Tuberc Lung Dis,2008

2. Treatment outcomes of isoniazid-resistant tuberculosis patients, Western Cape Province, South Africa;Jacobson;Clin Infect Dis,2011

3. Rationale for high-dose isoniazid in the treatment of multidrug-resistant tuberculosis;Rieder;Int J Tuberc Lung Dis,2017

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