TABLE 3

The three standardised regimens potentially able to manage the different categories of TB cases

TB patients categoriesStandardised treatment regimenRecommendations
1. Standardised treatment regimen for patients with rifampicin-susceptible TB2 HRZE#/4 HR#: In case of a positive sputum smear microscopy at the end of the second month of treatment, consider to check susceptibility to isoniazid before switching to the continuation phase (isoniazid, rifampicin)
2. Standardised treatment regimen for RR/MDR-TB patients, susceptible to FQs and SLIs4 Km-hMfx-Cfz-Eto/Pto-Z-E-hH+/5 hMfx-Cfz-E-ZStandardised shortened treatment with SLD
The intensive phase should be extended to 6 months when at the end of the fourth month of treatment, sputum smear microscopy is still positive
: HMfx (600–800 mg·day−1)
+: hH (15 mg·kg−1 body weight)
3. Standardised treatment regimen for patients with pre-XDR-TB and XDR-TBLzd-Bdq-Mrp/Clav (or Dlm)-Cfz- Amk§-hLfx§-hH§§: With the considerations on duration and possible change of drugs exposed in the text

TB: tuberculosis; H: isoniazid; R: rifampicin; Z: pyrazinamide; E: ethambutol; RR: rifampicin-resistant; MDR: multidrug-resistant; Km: kanamycin; hMfx: high-dose moxifloxacin; Cfz: clofazimine; Eto: ethionamide; Pto: prothionamide; hH: high-dose isoniazid; SLD: second-line drug; XDR: extensively drug-resistant; Lzd: linezolid; Bdq: bedaquiline; Mrp/Clav: meropenem/clavulanate; Dlm: delamanid; Amk: amikacin; hLfx: high-dose levofloxacin.