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Predictors of treatment outcome in multidrug-resistant tuberculosis in Portugal

Olena Oliveira, Rita Gaio, Miguel Villar, Raquel Duarte
European Respiratory Journal 2013 42: 1747-1749; DOI: 10.1183/09031936.00197912
Olena Oliveira
1Dept of Clinical Epidemiology, Predictive medicine and Public Health of the University of Porto Medical School, Porto
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  • For correspondence: radomoliveira@gmail.com
Rita Gaio
2Dept of Mathematics, Sciences Faculty, Porto University, Porto
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Miguel Villar
3National Centre for Multidrug-resistant tuberculosis of Portugal, Lisbon
4Chest Disease Centre of Venda Nova, Amadora
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Raquel Duarte
1Dept of Clinical Epidemiology, Predictive medicine and Public Health of the University of Porto Medical School, Porto
5Dept of Pulmonology, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia
6Reference Centre for Multidrug-resistant tuberculosis in the North Region of Portugal, Chest Disease Centre of Vila Nova de Gaia, Vila Nova de Gaia
7Institute of Public Health University of Porto, Porto, Portugal
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Tables

  • Table 1– Predictors of poor outcome among 364 patients with multidrug-resistant (MDR) tuberculosis (TB)
    PredictorsTreatment successPoor outcomeUnivariate analysisMultivariate analysis
    OR# (95% CI)p-valueOR# (95% CI)p-value
    Patients n226138
    Age years
     ≥40111 (49.1)76 (55.1)1.0
     <40115 (59.2)62 (44.9)0.79 (0.52–1.20)0.270
    Sex
     Female73 (32.3)32 (23.2)1.0
     Male153 (67.7)106 (76.8)1.58 (0.97–2.56)0.064
    Country of birth
     Portugal184 (81.4)107 (77.5)1.0
     Foreign42 (18.6)31 (22.5)1.27 (0.75–2.14)0.370
    Risk factors¶
     None133 (62.1)63 (48.8)1.0
     Alcohol abuse only39 (18.2)22 (17.1)1.19 (0.65–2.17)0.570
     Injection drug use only12 (5.6)19 (14.7)3.34 (1.53–7.31)0.003
     Alcohol abuse and injection drug use1 (0.5)5 (3.9)10.56 (1.21–92.25)0.033
     Other29 (13.6)20 (15.5)1.46 (0.77–2.77)0.253
    HIV status+
     Negative174 (79.5)72 (53.3)1.01.0
     Positive45 (20.5)63 (46.7)3.38 (2.11–5.42)<0.0013.56 (2.20–5.77)<0.001
    Treatment history
     Never treated for TB141 (62.4)67 (48.6)1.01.0
     Previously treated for TB85 (37.6)71 (51.4)1.76 (1.15–2.70)0.0101.72 (1.08–2.74)0.023
    Site of disease
     Pulmonary211 (93.4)123 (89.1)1.0
     Pulmonary and extra-pulmonary15 (6.6)15 (10.9)1.72 (0.81–3.63)0.158
    Chest radiograph§
     No cavitation115 (55.6)55 (45.8)1.0
     Cavitation92 (44.4)65 (54.2)1.48 (0.94–2.32)0.090
    Resistance to kanamycin
     No170 (75.2)85 (61.6)1.01.0
     Yes56 (24.8)53 (38.4)1.89 (1.20–2.99)0.0061.68 (1.02–2.75)0.040
    Categories of drug resistance
     MDR170 (75.2)87 (63.0)1.0
     XDR56 (24.8)51 (37.0)1.78 (1.13–2.82)0.014
    • Data are presented as n (%) unless otherwise stated. XDR: extensively drug-resistant. #: crude and adjusted odds ratio (OR) for poor outcome; ¶: treatment success n=214 and poor outcome n=129; +: treatment success n=219 and poor outcome n=135; §: treatment success n=207 and poor outcome n=120.

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Predictors of treatment outcome in multidrug-resistant tuberculosis in Portugal
Olena Oliveira, Rita Gaio, Miguel Villar, Raquel Duarte
European Respiratory Journal Dec 2013, 42 (6) 1747-1749; DOI: 10.1183/09031936.00197912

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Predictors of treatment outcome in multidrug-resistant tuberculosis in Portugal
Olena Oliveira, Rita Gaio, Miguel Villar, Raquel Duarte
European Respiratory Journal Dec 2013, 42 (6) 1747-1749; DOI: 10.1183/09031936.00197912
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