Pregnancy and Birth Outcomes in Patients With Multidrug-Resistant Tuberculosis Treated With Regimens That Include New and Repurposed Drugs

Author:

Lotia Farrukh Ismat1ORCID,Lachenal Nathalie2,Adenov Malik M3,Ahmed Saman1,Algozhin Yerkebulan4,Coutisson Sylvine2,Garavito Epifanio Sánchez5,Hewison Catherine6ORCID,Holtzman David7,Huerga Helena8ORCID,Janmohamed Aleeza1,Khan Palwasha Y19,Jacques Gamarly Leblanc10,Lomtadze Nino11,Melikyan Nara12,Mitnick Carole D1314,Mussabekova Gulnaz3,Osso Elna13,Perea Sara15,Putri Fauziah Asnely16,Rashidov Mahmud4,Rich Michael L1417,Sakhabutdinova Yekaterina4,Seung Kwonjune J1417,Stambekova Assel4,Vásquez Dante Vargas18,Franke Molly F13,Khan Uzma1

Affiliation:

1. Interactive Research and Development Pakistan , Karachi , Pakistan

2. Pharmacovigilance Unit, Médecins Sans Frontières , Geneva , Switzerland

3. National Scientific Center of Phthisiopulmonology, Ministry of Health, Republic of Kazakhstan , Almaty , Kazakhstan

4. Partners In Health , Almaty , Kazakhstan

5. Centro de Investigación de Enfermedades Neumológicas, Hospital Nacional Sergio Bernale , Lima , Peru

6. Medical Department, Médecins Sans Frontières , Paris , France

7. Partners In Health , Maseru , Lesotho

8. Field Epidemiology Department, Epicentre , Paris , France

9. London School of Hygiene & Tropical Medicine , London , United Kingdom

10. Zanmi Lasante , Cange , Haiti

11. Surveillance and Strategic Planning, Ministry of Health , Tbilisi , Georgia

12. Field Epidemiology Department, Epicentre , Yerevan , Armenia

13. Department of Global Health and Social Medicine, Harvard Medical School , Boston, Massachusetts , USA

14. Partners In Health , Boston, Massachusetts , USA

15. Socios En Salud Sucursal Peru , Lima , Peru

16. Interactive Research and Development Global , Jakarta , Indonesia

17. Division of Global Health Equity, Brigham and Women's Hospital , Boston, Massachusetts , USA

18. Centro de Investigación, Hospital Nacional Hipólito Unanue , Lima , Peru

Abstract

Abstract Among 43 pregnant women receiving multidrug-resistant/rifampicin-resistant tuberculosis (MDR/RR-TB) treatment with bedaquiline and/or delamanid, 98% had favorable treatment outcomes. Of 31 continued pregnancies, 81% had live births with no reported malformations, and 68% of neonates had normal birth weights. Effective MDR/RR-TB treatment during pregnancy can improve maternal outcomes without harming neonates.

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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