Table 6. Summary of association of use of individual drugs with treatment success in children treated for confirmed MDR-TB (n = 641)a,b,c,d.
Drug used | N (%) | aORe | 95% CI | p-value |
---|---|---|---|---|
Pyrazinamide | 599 (93) | 1.63g | (0.41–6.56) | 0.484 |
Second-line injectable agentsf, j | 584 (91) | 2.94g | (1.05–8.28) | 0.041 |
Ethionamide/ prothionamide | 590 (92) | 2.19 | (0.42–11.54) | 0.332 |
Cycloserine/ terizidone | 356 (56) | 1.66h | (0.91–3.05) | 0.104 |
Clofazimine | 23 (4) | 0.55 | (0.02–19.20) | 0.714 |
High-dose isoniazidj | 133 (21) | 5.86g | (1.68–20.51) | 0.007 |
Para-aminosalicylic acid | 147 (23) | 0.70i | (0.25–1.96) | 0.483 |
Clarithromycin | 32 (5) | 0.29i | (0.05–1.53) | 0.132 |
Treatment success was compared to Failure/Death by drug use.
aAdjusted estimates for the clinically diagnosed children were not possible due to very low rates of failure.
bLost to follow-up was excluded from analysis.
cAll random effects (random intercept and random slope) models used maximum likelihood estimation with quadrature approximation and were specified with an unstructured variance–covariance matrix parameterized through its Cholesky root unless otherwise stated.
dToo few children were treated with late-generation fluoroquinolones, carbapenems, and linezolid to be analyzed. No children in these cohorts were treated with bedaquiline or delamanid.
eaOR, for use of drug, with nonuse as reference category. Adjusted for age, sex, HIV infection, malnutrition, severity of disease on chest radiograph, and severity of extrapulmonary disease.
fSecond-line injectable agents are amikacin, kanamycin, and capreomycin.
gRandom-slope only model without random intercept, specified with standard variance components.
hRandom-intercept only model without random slope, specified with standard variance components.
iModel specified with standard variance components (not unstructured).
jBolded results met the prespecified criteria for statistical significance.
Abbreviations: aOR, adjusted odds ratio; MDR-TB, multidrug-resistant tuberculosis.