The disconnect between a national tuberculosis drug resistance survey and treatment outcomes: a lost opportunity

Int J Tuberc Lung Dis. 2014 Nov;18(11):1319-22. doi: 10.5588/ijtld.13.0710.

Abstract

We linked results from the Fourth Botswana National Drug Resistance Survey (DRS), 2007-2008, to patient records from the national Electronic Tuberculosis Registry to determine treatment outcomes. Of 915 new patients, 651 (71%) had treatment data available. Completion or cure was achieved for 10/15 (67%, 95%CI 42-85) with isoniazid monoresistance, (6/16, 38%, 95%CI 18-61) with multidrug resistance, while 73% (391/537, 95%CI 69-76) were susceptible to first-line drugs. The analysis was limited because of unavailable treatment records and undocumented outcomes. Prospective analyses following DRSs should be considered to ensure adequate outcome data.

MeSH terms

  • Antitubercular Agents / pharmacology*
  • Botswana
  • Female
  • Follow-Up Studies
  • Humans
  • Isoniazid / pharmacology*
  • Male
  • Mycobacterium tuberculosis / drug effects*
  • Mycobacterium tuberculosis / isolation & purification
  • Registries
  • Retrospective Studies
  • Treatment Outcome
  • Tuberculosis, Multidrug-Resistant / drug therapy*
  • Tuberculosis, Multidrug-Resistant / microbiology

Substances

  • Antitubercular Agents
  • Isoniazid