Tuberc Respir Dis.  2015 Jul;78(3):168-174. 10.4046/trd.2015.78.3.168.

Medical Management of Drug-Resistant Tuberculosis

Affiliations
  • 1Department of Internal Medicine, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea. sooli10kr@yahoo.co.kr

Abstract

Drug-resistant tuberculosis (TB) is still a major threat worldwide. However, recent scientific advances in diagnostic and therapeutic tools have improved the management of drug-resistant TB. The development of rapid molecular testing methods allows for the early detection of drug resistance and prompt initiation of an appropriate treatment. In addition, there has been growing supportive evidence for shorter treatment regimens in multidrug-resistant TB; and for the first time in over 50 years, new anti-TB drugs have been developed. The World Health Organization has recently revised their guidelines, primarily based on evidence from a meta-analysis of individual patient data (n=9,153) derived from 32 observational studies, and outlined the recommended combination and correct use of available anti-TB drugs. This review summarizes the updated guidelines with a focus on the medical management of drug-resistant TB.

Keyword

Tuberculosis; Drug Resistance; Tuberculosis, Multidrug-Resistant; Extensively Drug-Resistant Tuberculosis

MeSH Terms

Drug Resistance
Extensively Drug-Resistant Tuberculosis
Humans
Methods
Tuberculosis
Tuberculosis, Multidrug-Resistant*
World Health Organization

Cited by  2 articles

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