Table 3.
Pattern of drug resistance | Suggested regimen | Minimum duration of treatment in months |
---|---|---|
H | 2RZE and FQ followed by 4–7 R and FQ (FQ = 400 mg moxifloxacin or 750–1000 mg levofloxacin substituted for H in the standard treatment regimen) | 6–9 |
R | 2HZE and FQ followed by 10–16 HE and FQ ± injectable for the initial 6 months | 12–18 |
H and Z | RE and FQ | 9–12 (longer if extensive disease) |
H and E | RZ and FQ | 9–12 (longer if extensive disease) |
R and E (±S) | HZ and FQ, plus injectable for at least the first 2–3 months (6 months if extensive disease) | 18 |
R and Z (±S) | HE and FQ, plus injectable for at least the first 2–3 months (6 months if extensive disease) | 18 |
H, E, Z (±S) | R and FQ, plus an oral second-line agent, plus injectable for at least the first 2–3 months (6 months if extensive disease) | 18 |
Abbreviations: H, isoniazid; R, rifampicin; E, ethambutol; Z, pyrazinamide; S, streptomycin; FQ, fluoroquinolone.