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Effectiveness and safety of bedaquiline-containing regimens in the treatment of MDR- and XDR-TB: a multicentre study

Sergey E. Borisov, Keertan Dheda, Martin Enwerem, Rodolfo Romero Leyet, Lia D'Ambrosio, Rosella Centis, Giovanni Sotgiu, Simon Tiberi, Jan-Willem Alffenaar, Andrey Maryandyshev, Evgeny Belilovski, Shashank Ganatra, Alena Skrahina, Onno Akkerman, Alena Aleksa, Rohit Amale, Janina Artsukevich, Judith Bruchfeld, Jose A. Caminero, Isabel Carpena Martinez, Luigi Codecasa, Margareth Dalcolmo, Justin Denholm, Paul Douglas, Raquel Duarte, Aliasgar Esmail, Mohammed Fadul, Alexey Filippov, Lina Davies Forsman, Mina Gaga, Julia-Amaranta Garcia-Fuertes, José-María García-García, Gina Gualano, Jerker Jonsson, Heinke Kunst, Jillian S. Lau, Barbara Lazaro Mastrapa, Jorge Lazaro Teran Troya, Selene Manga, Katerina Manika, Pablo González Montaner, Jai Mullerpattan, Suzette Oelofse, Martina Ortelli, Domingo Juan Palmero, Fabrizio Palmieri, Antonella Papalia, Apostolos Papavasileiou, Marie-Christine Payen, Emanuele Pontali, Carlos Robalo Cordeiro, Laura Saderi, Tsetan Dorji Sadutshang, Tatsiana Sanukevich, Varvara Solodovnikova, Antonio Spanevello, Sonam Topgyal, Federica Toscanini, Adrian R. Tramontana, Zarir Farokh Udwadia, Pietro Viggiani, Veronica White, Alimuddin Zumla, Giovanni Battista Migliori
European Respiratory Journal 2017 49: 1700387; DOI: 10.1183/13993003.00387-2017
Sergey E. Borisov
1Moscow Research and Clinical Center for TB Control, Moscow Government's Health Department, Moscow, Russian Federation
50These authors contributed equally
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Keertan Dheda
2UCT Lung Institute, Division of Pulmonology, University of Cape Town, Cape Town, South Africa
50These authors contributed equally
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Martin Enwerem
3Amity Health Consortium, Country Club Estate, Johannesburg, South Africa
50These authors contributed equally
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Rodolfo Romero Leyet
4Clinical Unit, District Clinical Specialist Team, Springbok, South Africa
50These authors contributed equally
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Lia D'Ambrosio
5World Health Organization Collaborating Centre for Tuberculosis and Lung Diseases, Maugeri Care and Research Institute, Tradate, Italy
6Public Health Consulting Group, Lugano, Switzerland
50These authors contributed equally
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Rosella Centis
5World Health Organization Collaborating Centre for Tuberculosis and Lung Diseases, Maugeri Care and Research Institute, Tradate, Italy
50These authors contributed equally
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Giovanni Sotgiu
7Clinical Epidemiology and Medical Statistics Unit, Dept of Biomedical Sciences, University of Sassari, Sassari, Italy
50These authors contributed equally
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Simon Tiberi
8Division of Infection, Royal London Hospital, Barts Health NHS Trust, London, UK
9Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
50These authors contributed equally
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Jan-Willem Alffenaar
10University of Groningen, University Medical Center Groningen, Dept of Clinical Pharmacy and Pharmacology, Groningen, The Netherlands
50These authors contributed equally
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Andrey Maryandyshev
11Northern State Medical University, Arkhangelsk, Russian Federation
50These authors contributed equally
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Evgeny Belilovski
1Moscow Research and Clinical Center for TB Control, Moscow Government's Health Department, Moscow, Russian Federation
50These authors contributed equally
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Shashank Ganatra
12Dept of Respiratory Medicine, P.D. Hinduja National Hospital and MRC, Mumbai, India
50These authors contributed equally
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Alena Skrahina
13Republican Research and Practical Centre for Pulmonology and Tuberculosis, Minsk, Belarus
50These authors contributed equally
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Onno Akkerman
14University of Groningen, University Medical Center Groningen, Tuberculosis Center Beatrixoord, Haren, The Netherlands
15University of Groningen, University Medical Center Groningen, Dept of Pulmonary Diseases and Tuberculosis, Groningen, The Netherlands
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Alena Aleksa
16Dept of Phthisiology, Grodno State Medical University, GRCC “Phthisiology”, Grodno, Belarus
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Rohit Amale
12Dept of Respiratory Medicine, P.D. Hinduja National Hospital and MRC, Mumbai, India
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Janina Artsukevich
16Dept of Phthisiology, Grodno State Medical University, GRCC “Phthisiology”, Grodno, Belarus
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Judith Bruchfeld
17Unit of Infectious Diseases, Dept of Medicine, Solna, Karolinska Institute, Dept of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden
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Jose A. Caminero
18Pneumology Dept, Hospital General de Gran Canaria “Dr Negrin”, Las Palmas de Gran Canaria, Spain
19MDR-TB Unit, Tuberculosis Division, International Union against Tuberculosis and Lung Disease (The Union), Paris, France
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Isabel Carpena Martinez
20General University Hospital Morales Meseguer, Murcia, Spain
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Luigi Codecasa
21TB Reference Centre, Villa Marelli Institute/Niguarda Hospital, Milan, Italy
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Margareth Dalcolmo
22Hélio Fraga Reference Center, Fiocruz/MoH, Rio de Janeiro, Brazil
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Justin Denholm
23Victorian Tuberculosis Program, Melbourne Health, Dept of Microbiology and Immunology, University of Melbourne, Peter Doherty Institute for Infection and Immunity, Melbourne, Australia
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Paul Douglas
24Health Policy and Performance Branch, Health Services and Policy Division, Dept of Immigration and Border Protection, Sydney, Australia
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Raquel Duarte
25National Reference Centre for MDR-TB, Hospital Centre Vila Nova de Gaia, Dept of Pneumology, Public Health Science and Medical Education Department, Faculty of Medicine, University of Porto, Porto, Portugal
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Aliasgar Esmail
26UCT Lung Institute, Lung Infection and Immunity Unit, Division of Pulmonology, Dept of Medicine, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa
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Mohammed Fadul
26UCT Lung Institute, Lung Infection and Immunity Unit, Division of Pulmonology, Dept of Medicine, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa
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Alexey Filippov
1Moscow Research and Clinical Center for TB Control, Moscow Government's Health Department, Moscow, Russian Federation
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Lina Davies Forsman
17Unit of Infectious Diseases, Dept of Medicine, Solna, Karolinska Institute, Dept of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden
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Mina Gaga
277th Respiratory Medicine Dept, Athens Chest Hospital, Athens, Greece
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Julia-Amaranta Garcia-Fuertes
28Bronchiectasis Unit, Respiratory Dept, Hospital Universitario Araba, Vitoria-Gasteiz, Spain
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José-María García-García
29Tuberculosis Research Programme, SEPAR, Barcelona, Spain
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Gina Gualano
30Respiratory Infectious Diseases Unit, National Institute for Infectious Diseases “L. Spallanzani”, IRCCS, Rome, Italy
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Jerker Jonsson
31National TB Surveillance Unit, Public Health Agency, Stockholm, Sweden
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Heinke Kunst
9Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
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Jillian S. Lau
32Dept of Infectious Diseases, Box Hill Hospital, Victoria, Australia
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Barbara Lazaro Mastrapa
33Harry Surtie Hospital, Upington, South Africa
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Jorge Lazaro Teran Troya
33Harry Surtie Hospital, Upington, South Africa
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Selene Manga
34Dept of Infectious Diseases, University National San Antonio Abad Cusco, Cusco, Perù
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Katerina Manika
35Pulmonary Dept, ‘G. Papanikolaou’ Hospital, Aristotle University, Thessaloniki, Greece
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Pablo González Montaner
36Pulmonology Division, Municipal Hospital F. J. Munĩz, Buenos Aires, Argentina
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Jai Mullerpattan
12Dept of Respiratory Medicine, P.D. Hinduja National Hospital and MRC, Mumbai, India
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Suzette Oelofse
26UCT Lung Institute, Lung Infection and Immunity Unit, Division of Pulmonology, Dept of Medicine, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa
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Martina Ortelli
37Pneumology Dept, University of Insubria, Varese, Italy
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Domingo Juan Palmero
36Pulmonology Division, Municipal Hospital F. J. Munĩz, Buenos Aires, Argentina
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Fabrizio Palmieri
30Respiratory Infectious Diseases Unit, National Institute for Infectious Diseases “L. Spallanzani”, IRCCS, Rome, Italy
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Antonella Papalia
38AOVV Eugenio Morelli Hospital, Reference Hospital for MDR and HIV-TB, Sondalo, Italy
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Apostolos Papavasileiou
39MDR-TB Unit, Athens Chest Hospital, Ministry of Health, Athens, Greece
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Marie-Christine Payen
40Division of Infectious Diseases, CHU Saint-Pierre, Université Libre de Bruxelles (ULB), Brussels, Belgium
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Emanuele Pontali
41Dept of Infectious Diseases, Galliera Hospital, Genoa, Italy
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Carlos Robalo Cordeiro
42Coimbra Medical School, Pneumology Dept, Coimbra University Hospital, Coimbra, Portugal
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Laura Saderi
7Clinical Epidemiology and Medical Statistics Unit, Dept of Biomedical Sciences, University of Sassari, Sassari, Italy
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Tsetan Dorji Sadutshang
43Delek Hospital, Dharamshala, India
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Tatsiana Sanukevich
16Dept of Phthisiology, Grodno State Medical University, GRCC “Phthisiology”, Grodno, Belarus
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Varvara Solodovnikova
13Republican Research and Practical Centre for Pulmonology and Tuberculosis, Minsk, Belarus
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Antonio Spanevello
44Pneumology Dept, Maugeri Care and Research Institute, Tradate, Italy
45Dept of Clinical and Experimental Medicine, University of Insubria, Varese, Italy
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Sonam Topgyal
43Delek Hospital, Dharamshala, India
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Federica Toscanini
46University Hospital San Martino, Care and Research Institute, National Institute for Cancer Research, Genoa, Italy
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Adrian R. Tramontana
47Dept of Infectious Diseases, Western Hospital, Victoria, Australia
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Zarir Farokh Udwadia
12Dept of Respiratory Medicine, P.D. Hinduja National Hospital and MRC, Mumbai, India
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Pietro Viggiani
38AOVV Eugenio Morelli Hospital, Reference Hospital for MDR and HIV-TB, Sondalo, Italy
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Veronica White
48Dept of Respiratory Medicine, Barts Healthcare NHS Trust, London, UK
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Alimuddin Zumla
49Division of Infection and Immunity, University College London and NIHR Biomedical Research Centre, UCL Hospitals NHS Foundation Trust, London, UK
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Giovanni Battista Migliori
5World Health Organization Collaborating Centre for Tuberculosis and Lung Diseases, Maugeri Care and Research Institute, Tradate, Italy
50These authors contributed equally
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  • For correspondence: giovannibattista.migliori@icsmaugeri.it
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Article Information

vol. 49 no. 5
DOI 
https://doi.org/10.1183/13993003.00387-2017
PubMed 
28529205

Published By 
European Respiratory Society
Print ISSN 
0903-1936
Online ISSN 
1399-3003
History 
  • Received February 23, 2017
  • Accepted March 16, 2017
  • Published online May 21, 2017.

Copyright & Usage 
Copyright ©ERS 2017

Author Information

  1. Sergey E. Borisov1,50,
  2. Keertan Dheda2,50,
  3. Martin Enwerem3,50,
  4. Rodolfo Romero Leyet4,50,
  5. Lia D'Ambrosio5,6,50,
  6. Rosella Centis5,50,
  7. Giovanni Sotgiu7,50,
  8. Simon Tiberi8,9,50,
  9. Jan-Willem Alffenaar10,50,
  10. Andrey Maryandyshev11,50,
  11. Evgeny Belilovski1,50,
  12. Shashank Ganatra12,50,
  13. Alena Skrahina13,50,
  14. Onno Akkerman14,15,
  15. Alena Aleksa16,
  16. Rohit Amale12,
  17. Janina Artsukevich16,
  18. Judith Bruchfeld17,
  19. Jose A. Caminero18,19,
  20. Isabel Carpena Martinez20,
  21. Luigi Codecasa21,
  22. Margareth Dalcolmo22,
  23. Justin Denholm23,
  24. Paul Douglas24,
  25. Raquel Duarte25,
  26. Aliasgar Esmail26,
  27. Mohammed Fadul26,
  28. Alexey Filippov1,
  29. Lina Davies Forsman17,
  30. Mina Gaga27,
  31. Julia-Amaranta Garcia-Fuertes28,
  32. José-María García-García29,
  33. Gina Gualano30,
  34. Jerker Jonsson31,
  35. Heinke Kunst9,
  36. Jillian S. Lau32,
  37. Barbara Lazaro Mastrapa33,
  38. Jorge Lazaro Teran Troya33,
  39. Selene Manga34,
  40. Katerina Manika35,
  41. Pablo González Montaner36,
  42. Jai Mullerpattan12,
  43. Suzette Oelofse26,
  44. Martina Ortelli37,
  45. Domingo Juan Palmero36,
  46. Fabrizio Palmieri30,
  47. Antonella Papalia38,
  48. Apostolos Papavasileiou39,
  49. Marie-Christine Payen40,
  50. Emanuele Pontali41,
  51. Carlos Robalo Cordeiro42,
  52. Laura Saderi7,
  53. Tsetan Dorji Sadutshang43,
  54. Tatsiana Sanukevich16,
  55. Varvara Solodovnikova13,
  56. Antonio Spanevello44,45,
  57. Sonam Topgyal43,
  58. Federica Toscanini46,
  59. Adrian R. Tramontana47,
  60. Zarir Farokh Udwadia12,
  61. Pietro Viggiani38,
  62. Veronica White48,
  63. Alimuddin Zumla49 and
  64. Giovanni Battista Migliori5,50⇑
  1. 1Moscow Research and Clinical Center for TB Control, Moscow Government's Health Department, Moscow, Russian Federation
  2. 2UCT Lung Institute, Division of Pulmonology, University of Cape Town, Cape Town, South Africa
  3. 3Amity Health Consortium, Country Club Estate, Johannesburg, South Africa
  4. 4Clinical Unit, District Clinical Specialist Team, Springbok, South Africa
  5. 5World Health Organization Collaborating Centre for Tuberculosis and Lung Diseases, Maugeri Care and Research Institute, Tradate, Italy
  6. 6Public Health Consulting Group, Lugano, Switzerland
  7. 7Clinical Epidemiology and Medical Statistics Unit, Dept of Biomedical Sciences, University of Sassari, Sassari, Italy
  8. 8Division of Infection, Royal London Hospital, Barts Health NHS Trust, London, UK
  9. 9Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
  10. 10University of Groningen, University Medical Center Groningen, Dept of Clinical Pharmacy and Pharmacology, Groningen, The Netherlands
  11. 11Northern State Medical University, Arkhangelsk, Russian Federation
  12. 12Dept of Respiratory Medicine, P.D. Hinduja National Hospital and MRC, Mumbai, India
  13. 13Republican Research and Practical Centre for Pulmonology and Tuberculosis, Minsk, Belarus
  14. 14University of Groningen, University Medical Center Groningen, Tuberculosis Center Beatrixoord, Haren, The Netherlands
  15. 15University of Groningen, University Medical Center Groningen, Dept of Pulmonary Diseases and Tuberculosis, Groningen, The Netherlands
  16. 16Dept of Phthisiology, Grodno State Medical University, GRCC “Phthisiology”, Grodno, Belarus
  17. 17Unit of Infectious Diseases, Dept of Medicine, Solna, Karolinska Institute, Dept of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden
  18. 18Pneumology Dept, Hospital General de Gran Canaria “Dr Negrin”, Las Palmas de Gran Canaria, Spain
  19. 19MDR-TB Unit, Tuberculosis Division, International Union against Tuberculosis and Lung Disease (The Union), Paris, France
  20. 20General University Hospital Morales Meseguer, Murcia, Spain
  21. 21TB Reference Centre, Villa Marelli Institute/Niguarda Hospital, Milan, Italy
  22. 22Hélio Fraga Reference Center, Fiocruz/MoH, Rio de Janeiro, Brazil
  23. 23Victorian Tuberculosis Program, Melbourne Health, Dept of Microbiology and Immunology, University of Melbourne, Peter Doherty Institute for Infection and Immunity, Melbourne, Australia
  24. 24Health Policy and Performance Branch, Health Services and Policy Division, Dept of Immigration and Border Protection, Sydney, Australia
  25. 25National Reference Centre for MDR-TB, Hospital Centre Vila Nova de Gaia, Dept of Pneumology, Public Health Science and Medical Education Department, Faculty of Medicine, University of Porto, Porto, Portugal
  26. 26UCT Lung Institute, Lung Infection and Immunity Unit, Division of Pulmonology, Dept of Medicine, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa
  27. 277th Respiratory Medicine Dept, Athens Chest Hospital, Athens, Greece
  28. 28Bronchiectasis Unit, Respiratory Dept, Hospital Universitario Araba, Vitoria-Gasteiz, Spain
  29. 29Tuberculosis Research Programme, SEPAR, Barcelona, Spain
  30. 30Respiratory Infectious Diseases Unit, National Institute for Infectious Diseases “L. Spallanzani”, IRCCS, Rome, Italy
  31. 31National TB Surveillance Unit, Public Health Agency, Stockholm, Sweden
  32. 32Dept of Infectious Diseases, Box Hill Hospital, Victoria, Australia
  33. 33Harry Surtie Hospital, Upington, South Africa
  34. 34Dept of Infectious Diseases, University National San Antonio Abad Cusco, Cusco, Perù
  35. 35Pulmonary Dept, ‘G. Papanikolaou’ Hospital, Aristotle University, Thessaloniki, Greece
  36. 36Pulmonology Division, Municipal Hospital F. J. Munĩz, Buenos Aires, Argentina
  37. 37Pneumology Dept, University of Insubria, Varese, Italy
  38. 38AOVV Eugenio Morelli Hospital, Reference Hospital for MDR and HIV-TB, Sondalo, Italy
  39. 39MDR-TB Unit, Athens Chest Hospital, Ministry of Health, Athens, Greece
  40. 40Division of Infectious Diseases, CHU Saint-Pierre, Université Libre de Bruxelles (ULB), Brussels, Belgium
  41. 41Dept of Infectious Diseases, Galliera Hospital, Genoa, Italy
  42. 42Coimbra Medical School, Pneumology Dept, Coimbra University Hospital, Coimbra, Portugal
  43. 43Delek Hospital, Dharamshala, India
  44. 44Pneumology Dept, Maugeri Care and Research Institute, Tradate, Italy
  45. 45Dept of Clinical and Experimental Medicine, University of Insubria, Varese, Italy
  46. 46University Hospital San Martino, Care and Research Institute, National Institute for Cancer Research, Genoa, Italy
  47. 47Dept of Infectious Diseases, Western Hospital, Victoria, Australia
  48. 48Dept of Respiratory Medicine, Barts Healthcare NHS Trust, London, UK
  49. 49Division of Infection and Immunity, University College London and NIHR Biomedical Research Centre, UCL Hospitals NHS Foundation Trust, London, UK
  50. 50These authors contributed equally
  1. G.B. Migliori, World Health Organization Collaborating Centre for Tuberculosis and Lung Diseases, Maugeri, Care and Research Institute, Via Roncaccio 16, 21049, Tradate, Italy. E-mail: giovannibattista.migliori{at}icsmaugeri.it
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Effectiveness and safety of bedaquiline-containing regimens in the treatment of MDR- and XDR-TB: a multicentre study
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Effectiveness and safety of bedaquiline-containing regimens in the treatment of MDR- and XDR-TB: a multicentre study
Sergey E. Borisov, Keertan Dheda, Martin Enwerem, Rodolfo Romero Leyet, Lia D'Ambrosio, Rosella Centis, Giovanni Sotgiu, Simon Tiberi, Jan-Willem Alffenaar, Andrey Maryandyshev, Evgeny Belilovski, Shashank Ganatra, Alena Skrahina, Onno Akkerman, Alena Aleksa, Rohit Amale, Janina Artsukevich, Judith Bruchfeld, Jose A. Caminero, Isabel Carpena Martinez, Luigi Codecasa, Margareth Dalcolmo, Justin Denholm, Paul Douglas, Raquel Duarte, Aliasgar Esmail, Mohammed Fadul, Alexey Filippov, Lina Davies Forsman, Mina Gaga, Julia-Amaranta Garcia-Fuertes, José-María García-García, Gina Gualano, Jerker Jonsson, Heinke Kunst, Jillian S. Lau, Barbara Lazaro Mastrapa, Jorge Lazaro Teran Troya, Selene Manga, Katerina Manika, Pablo González Montaner, Jai Mullerpattan, Suzette Oelofse, Martina Ortelli, Domingo Juan Palmero, Fabrizio Palmieri, Antonella Papalia, Apostolos Papavasileiou, Marie-Christine Payen, Emanuele Pontali, Carlos Robalo Cordeiro, Laura Saderi, Tsetan Dorji Sadutshang, Tatsiana Sanukevich, Varvara Solodovnikova, Antonio Spanevello, Sonam Topgyal, Federica Toscanini, Adrian R. Tramontana, Zarir Farokh Udwadia, Pietro Viggiani, Veronica White, Alimuddin Zumla, Giovanni Battista Migliori
European Respiratory Journal May 2017, 49 (5) 1700387; DOI: 10.1183/13993003.00387-2017

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Effectiveness and safety of bedaquiline-containing regimens in the treatment of MDR- and XDR-TB: a multicentre study
Sergey E. Borisov, Keertan Dheda, Martin Enwerem, Rodolfo Romero Leyet, Lia D'Ambrosio, Rosella Centis, Giovanni Sotgiu, Simon Tiberi, Jan-Willem Alffenaar, Andrey Maryandyshev, Evgeny Belilovski, Shashank Ganatra, Alena Skrahina, Onno Akkerman, Alena Aleksa, Rohit Amale, Janina Artsukevich, Judith Bruchfeld, Jose A. Caminero, Isabel Carpena Martinez, Luigi Codecasa, Margareth Dalcolmo, Justin Denholm, Paul Douglas, Raquel Duarte, Aliasgar Esmail, Mohammed Fadul, Alexey Filippov, Lina Davies Forsman, Mina Gaga, Julia-Amaranta Garcia-Fuertes, José-María García-García, Gina Gualano, Jerker Jonsson, Heinke Kunst, Jillian S. Lau, Barbara Lazaro Mastrapa, Jorge Lazaro Teran Troya, Selene Manga, Katerina Manika, Pablo González Montaner, Jai Mullerpattan, Suzette Oelofse, Martina Ortelli, Domingo Juan Palmero, Fabrizio Palmieri, Antonella Papalia, Apostolos Papavasileiou, Marie-Christine Payen, Emanuele Pontali, Carlos Robalo Cordeiro, Laura Saderi, Tsetan Dorji Sadutshang, Tatsiana Sanukevich, Varvara Solodovnikova, Antonio Spanevello, Sonam Topgyal, Federica Toscanini, Adrian R. Tramontana, Zarir Farokh Udwadia, Pietro Viggiani, Veronica White, Alimuddin Zumla, Giovanni Battista Migliori
European Respiratory Journal May 2017, 49 (5) 1700387; DOI: 10.1183/13993003.00387-2017
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