Table 4. Multivariate association between treatment interruption pattern characteristics for each 6 month treatment period and poor treatment outcomes (default, failure, death) among MDR TB patients with at least one missed dose during the course of treatment (n = 542).
0–6 months | 6–12 months | 12–18 months | 18–24 months | |||||
Characteristic* | RR† (95% CI) | p | RR† (95% CI) | p | RR† (95% CI) | p | RR† (95% CI) | p |
Interruption Pattern | ||||||||
Short, regular | reference | reference | reference | reference | ||||
Short, sporadic | – | 3.32 (0.9–12.0) | 0.07 | 2.54 (1.1–5.7) | 0.03 | 0.77 (0.2–3.9) | 0.75 | |
Long, regular | – | – | – | – | – | 1.0 (1.0–1.0) | 1.0 | |
Long, sporadic | 1.10 (0.8–1.6) | 0.61 | 4.37 (1.2–15.8) | 0.03 | 3.38 (1.6–7.1) | 0.001 | 2.78 (0.6–13.1) | 0.20 |
Missing >10% of Treatment Doses | 1.55 (1.1–2.4) | 0.05 | 1.97 (1.2–3.4) | 0.01 | 2.35 (1.3–4.3) | 0.005 | 1.26 (0.5–3.0) | 0.60 |
RR, rate ratio; CI, confidence interval.
Each variable represents characteristic for the 6 month treatment period (e.g., 0–6 months).
All RRs adjusted for age, number of treatment interruptions, variability of time on treatment, and whether they were underweight (BMI<18), or received kanamycin/amikacin or clarithromycin during the treatment period. RRs presented are adjusted for all other variables in the model. Dashes (–) for RR and 95% CI indicate there were not enough observations in the interruption category for that time period to derive an estimate.