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The shorter multidrug-resistant tuberculosis treatment regimen in Singapore: are patients from South-East Asia eligible?

Cynthia B.E. Chee, Kyi-Win KhinMar, Li-H. Sng, Roland Jureen, Jeffery Cutter, Vernon J.M. Lee, Yee-Tang Wang
European Respiratory Journal 2017 50: 1700753; DOI: 10.1183/13993003.00753-2017
Cynthia B.E. Chee
1Respiratory Medicine, Tan Tock Seng Hospital, Singapore, Singapore
2Tuberculosis Control Unit, Tan Tock Seng Hospital, Singapore, Singapore
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  • For correspondence: cynthia_chee@ttsh.com.sg
Kyi-Win KhinMar
2Tuberculosis Control Unit, Tan Tock Seng Hospital, Singapore, Singapore
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Li-H. Sng
3Dept of Pathology, Singapore General Hospital, Singapore, Singapore
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Roland Jureen
4National University Health System (NUHS), Singapore, Singapore
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Jeffery Cutter
5Communicable Diseases Division, Ministry of Health, Singapore, Singapore
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Vernon J.M. Lee
5Communicable Diseases Division, Ministry of Health, Singapore, Singapore
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Yee-Tang Wang
1Respiratory Medicine, Tan Tock Seng Hospital, Singapore, Singapore
2Tuberculosis Control Unit, Tan Tock Seng Hospital, Singapore, Singapore
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Tables

  • TABLE 1

    Number and percentage of cases resistant to each of the six individual drugs in the shorter World Health Organization regimen, resistant to at least one of the six drugs and resistant to at least one of the five drugs excluding ethambutol, classified according to country of origin

    DrugBangladesh (n=4)China (n=37)India (n=7)Indonesia (n=76)Myanmar (n=56)Philippines (n=18)Vietnam (n=15)Singapore/Malaysia (n=54)Total (n=267)
    Ethambutol
     Tested4 (100)37 (100)7 (100)76 (100)56 (100)18 (100)15 (100)54 (100)267 (100)
     Resistant3 (75.0)13 (35.1)5 (71.4)38 (50.0)34 (60.7)2 (11.1)6 (40)15 (27.8)116 (43.4)
    Pyrazinamide
     Tested2 (50.0)23 (62.2)3 (42.9)32 (42.1)40 (71.4)10 (55.6)11 (73.3)44 (81.5)165 (61.8)
     Resistant0 (0.0)13 (56.5)2 (66.7)20 (62.5)24 (60.0)3 (30.0)7 (63.6)3 (6.8)72 (43.6)
    Ethionamide
     Tested4 (100)37 (100)7 (100)75 (98.7)56 (100)18 (100)15 (100)54 (100)266 (99.6)
     Resistant0 (0.0)14 (37.8)0 (0.0)17 (22.7)8 (14.3)8 (44.4)2 (13.3)26 (48.1)75 (28.2)
    Kanamycin
     Tested4 (100)37 (100)7 (100)75 (98.7)56 (100)18 (100)15 (100)54 (100)266 (99.6)
     Resistant1 (25.0)1 (2.7)0 (0.0)7 (9.3)0 (0.0)0 (0.0)2 (13.3)0 (0.0)11 (4.1)
    Ofloxacin
     Tested3 (75.0)37 (100)7 (100)72 (94.7)56 (100)18 (100)15 (100)53 (98.1)261 (97.8)
     Resistant0 (0.0)3 (8.1)0 (0.0)21 (29.2)7 (12.5)0 (0.0)3 (20.0)1 (1.9)35 (13.4)
    Clofazimine
     Tested2 (50.0)15 (40.5)2 (28.6)18 (23.7)23 (40.7)7 (38.9)8 (53.3)30 (55.6)105 (39.3)
     Resistant0 (0.0)0 (0.0)0 (0.0)3 (16.7)1 (4.3)0 (0.0)0 (0.0)0 (0.0)4 (3.8)
    Resistant to at least one of the above six drugs3 (75.0)23 (62.2)6 (85.7)57 (75.0)40 (71.4)10 (55.6)12 (80.0)39 (72.2)190 (71.2)
    Resistant to at least one of the above five drugs excluding ethambutol1 (25.0)20 (54.1)2 (28.6)44 (57.9)30 (53.6)9 (50.0)8 (53.3)28 (51.9)142 (53.2)

    Data are presented as n (%) unless otherwise noted.

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    The shorter multidrug-resistant tuberculosis treatment regimen in Singapore: are patients from South-East Asia eligible?
    Cynthia B.E. Chee, Kyi-Win KhinMar, Li-H. Sng, Roland Jureen, Jeffery Cutter, Vernon J.M. Lee, Yee-Tang Wang
    European Respiratory Journal Aug 2017, 50 (2) 1700753; DOI: 10.1183/13993003.00753-2017

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    The shorter multidrug-resistant tuberculosis treatment regimen in Singapore: are patients from South-East Asia eligible?
    Cynthia B.E. Chee, Kyi-Win KhinMar, Li-H. Sng, Roland Jureen, Jeffery Cutter, Vernon J.M. Lee, Yee-Tang Wang
    European Respiratory Journal Aug 2017, 50 (2) 1700753; DOI: 10.1183/13993003.00753-2017
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