TABLE 2.
RR-TB | |
As per MDR-TB | |
INH-resistant TB | |
RIF+PZA+ETM+FLQ for 6 months (can discontinue PZA after 2 months; FLQ only required in patients with extensive disease, i.e. cavitary or bilateral infiltrates) | |
MDR-TB | |
First line | Levofloxacin or Moxifloxacin with all 4 of: Bedaquiline + Linezolid + Clofazimine# + Cycloserine# |
Second line | Consider Delamanid¶2 or Pyrazinamide¶3 or Ethambutol¶1 or Amikacin or Streptomycin¶5 |
Third line | Consider ETH¶6 or Prothionamide or Imipenem-Cilastatin/Clavulante or Meropenem/Clavulanate¶4 or p-Aminosalicylic Acid¶7 or High Dose Isoniazid |
ATS: American Thoracic Society; CDC: US Centers For Disease Control And Prevention; ERS: European Respiratory Society; IDSA: Infectious Diseases Society of America. #: in contrast, the WHO suggests only one of these drugs are required, comprising a 4-drug regimen (see text for full details); ¶: superscript numbers refer to the order in which the WHO suggests drugs be incorporated into regimes. Information from [50].