Table 3.
Anti-tuberculosis-DR patterns in newly diagnosed and previously diagnosed tuberculosis patients.
Drug-Resistance Patterns | Antibiotics | Number of Analyzed Studies | Total Number of Tuberculosis Patients | Prevalence of Antibiotic-Resistance [95% CIs] (%) |
Heterogeneity | ||
---|---|---|---|---|---|---|---|
I 2 | p-Value | ||||||
Newly diagnosed tuberculosis patients | |||||||
Any-DR | First line drugs | Streptomycin | 4 | 2909 | 21.4 [12.9–29.9] | 96.0% | <0.0001 |
Isoniazid | 4 | 2909 | 10.8 [6.2–15.4] | 92.0% | <0.0001 | ||
Rifampicin | 4 | 2909 | 2.8 [0.6–5.1] | 88.0% | <0.0001 | ||
Ethambutol | 4 | 2909 | 3.7 [1.0–6.5] | 93.0% | <0.0001 | ||
Pyrazinamide | 1 | 751 | 2.8 [1.6–4.0] | - | NA | ||
Second line drugs | Gatifloxacin | 2 | 779 | 0.0 [0.0–0.2] | 0.0% | 0.50 | |
Kanamycin | 1 | 50 | 0.0 [0.0–2.7] | - | NA | ||
Levofloxacin | 1 | 729 | 3.3 [2.0–4.6] | - | NA | ||
Moxifloxacin | 1 | 732 | 0.4 [0.0–0.9] | - | NA | ||
Ofloxacin | 2 | 786 | 5.7 [1.2–10.1] | 39.0% | 0.20 | ||
Mono-DR | First line drugs | Streptomycin | 6 | 3505 | 9.3 [5.4–13.1] | 91.0% | <0.0001 |
Isoniazid | 6 | 3505 | 2.9 [1.4–4.5] | 83.0% | <0.0001 | ||
Rifampicin | 6 | 3505 | 0.3 [0.1–0.5] | 8.0% | 0.32 | ||
Ethambutol | 6 | 3505 | 0.3 [0.0–0.6] | 58.0% | 0.06 | ||
Previously treated tuberculosis patients | |||||||
Any-DR | First line drugs | Streptomycin | 4 | 621 | 42.5 [13.8–71.3] | 98.0% | <0.0001 |
Isoniazid | 5 | 727 | 49.9 [20.5–79.3] | 99.0% | <0.0001 | ||
Rifampicin | 5 | 727 | 40.9 [10.8–71.0] | 99.0% | <0.0001 | ||
Ethambutol | 4 | 621 | 27.6 [0.0–61.0] | 99.0% | <0.0001 | ||
Pyrazinamide | 1 | 192 | 14.6 [9.6–19.6] | - | NA | ||
Second line drugs | Kanamycin | 6 | 1251 | 0.5 [0.1–1.0] | 5.0% | 0.47 | |
Amikacin | 1 | 74 | 1.4 [0.0–4.0] | - | NA | ||
Gatifloxacin | 2 | 242 | 0.0 [0.0–0.7] | 0.0% | 0.61 | ||
Ofloxacin | 3 | 352 | 9.4 [6.3–12.4] | 0.0% | 0.98 | ||
Moxifloxacin | 2 | 266 | 6.2 [0.0–16.5] | 86.0% | 0.006 | ||
Ethionamide | 1 | 74 | 35.1 [24.3–46.0] | - | NA | ||
Prothionamide | 2 | 904 | 15.7 [12.4–19.0] | 48.0% | 0.17 | ||
Cycloserine | 1 | 74 | 44.6 [33.3–55.9] | - | NA | ||
Para-aminosalicylic acid | 1 | 74 | 12.2 [4.7–19.6] | - | NA | ||
Levofloxacin | 1 | 192 | 5.2 [2.1–8.4] | - | NA | ||
Mono-DR | First line drugs | Streptomycin | 6 | 862 | 6.5 [3.9–9.1] | 52.0% | 0.06 |
Isoniazid | 7 | 971 | 3.5 [1.1–5.9] | 84.0% | <0.0001 | ||
Rifampicin | 7 | 971 | 0.7 [0.1–1.2] | 0.0% | 0.77 | ||
Ethambutol | 6 | 862 | 0.7 [0.0–1.5] | 36.0% | 0.23 | ||
Second line drugs | Ofloxacin | 1 | 109 | 0.0 [0.0–1.3] | - | NA |