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Table 5 Reasons for changing the TB treatment regimen in episodes treated initially with standard or expanded regimens

From: Clinical presentation and outcome of Tuberculosis in Human Immunodeficiency Virus infected children on anti-retroviral therapy

Reason for regimen change

Initial regimen

Total (%)

 

HRZ*

HRZ ± Eth ± E*

 

Persistent culture-positive/progressive disease

10

2

12 (38)

Drug resistance

3

4

7 (22)

Adverse event#

3

6

9 (28)

M. bovis BCG/NTM**

3

1

4 (12)

Total (%)##

19 (59)

13 (41)

32 (100)

  1. *H = isoniazid, R = rifampicin, Z = pyrazinamide, Eth = ethionamide, E = ethambutol,
  2. **M. bovis BCG = Mycobacterium bovis Bacillus Calmette-Guérin disease, NTM = non-tuberculous mycobacteria disease
  3. #In total there were 13 adverse events, only 9 appear in this table as the others did not necessitate a regimen change (2 started on alternative TB regimens, 1 stayed on the initial regimen, 1 had all treatment suspended)
  4. ##In total 32 regimen changes were recorded in 29 cases; 3 changed regimens twice