Table 1.
Regimen | |
---|---|
Anti-tuberculosis treatment | |
Type of TB case | |
New (first case) | 2RHZE/4RH (Regimen 1)* |
Relapse, return after default, treatment failure, recurrent† | 2SRHZE/1RHZE/5RHE (Regimen 2)* |
Meningitis | 2SRHZ/7RH* |
Suspected or confirmed multidrug-resistant or extensively drug-resistant TB | Handled on a case-by-case basis with NTP |
ART | |
Standard first-line‡ | d4T/3TC/NVP |
Standard second-line‡ | ABC/ddI/LPV-r |
R = rifampicin; H = isoniazid; Z = pyrazinamide; E = ethambutol; S = streptomycin. Numbers represent duration of therapy in months.
In practice, many recurrent cases are treated with Regimen 1 if they are thought to represent re-infection after successful treatment of a previous episode.
For patients on anti-tuberculosis treatment and first-line ART, there is no recommended switch from NVP to EFV. For patients needing simultaneous anti-tuberculosis treatment and second-line ART, double-dose LPV-r is usually recommended, as individual ritonavir is not available in the country for superboosting.
ART = antiretroviral therapy; TB = tuberculosis; NTP = National TB Control Programme; d4T = stavudine; 3TC = lamivudine; NVP = nevirapine; ABC = abacavir; ddI = didanosine; LPV-r = lopinavir/ritonavir; EFV = efavirenz.