New drugs and perspectives for new anti-tuberculosis regimens

被引:133
作者
Tiberi, S. [1 ,2 ]
Munoz-Torrico, M. [3 ]
Duarte, R. [4 ]
Dalcolmo, M. [5 ]
D'Ambrosio, L. [6 ]
Migliori, G. -B. [7 ]
机构
[1] Royal London Hosp, Barts Hlth NHS Trust, Div Infect, 80 Newark St, London E1 2ES, England
[2] Barts & London Queen Marys Sch Med & Dent, Blizard Inst, Ctr Primary Care & Publ Hlth, London E1 2AB, England
[3] INER, Clin TB, Mexico City, DF, Mexico
[4] Univ Porto, Hosp Ctr Vila Nova De Gaia, Natl Reference Ctr MDR TB, Fac Med,Dept Pneumol,Publ Hlth Sci & Med Educ Dep, Porto, Portugal
[5] Fiocruz MoH, Helio Fraga Reference Ctr, Rio De Janeiro, Brazil
[6] Publ Hlth Consulting Grp, CH-6900 Lugano, Switzerland
[7] IRCCS, Fdn S Maugeri, WHO, Collaborating Ctr TB & Lung Dis, Via Roncaccio 16, I-21049 Tradate, Italy
关键词
Bedaquiline; Delamanid; Linezolid; MDR; XDR-TB; TB; MULTIDRUG-RESISTANT TUBERCULOSIS; INDIVIDUAL PATIENT DATA; MEROPENEM-CLAVULANATE; MDR-TB; SAFETY; BEDAQUILINE; DELAMANID; 1ST; MOXIFLOXACIN; COMBINATION;
D O I
10.1016/j.rppnen.2017.10.009
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Tuberculosis (TB) is the ninth cause of global death, more than any other infectious disease. With growing drug resistance the epidemic remains and will require significant attention and investment for the elimination of this disease to occur. With susceptible TB treatment not changing over the last four decades and the advent of drug resistance, new drugs and regimens are required. Recently, through greater collaboration and research networks some progress with significant advances has taken place, not withstanding the comparatively low amount of resources invested. Of late the availability of the new drugs bedaquiline, delamanid and repurposed drugs linezolid, clofazimine and carbapenems are being used more frequently in drug-resistant TB regimens. The WHO shorter multidrug-resistant tuberculosis regimen promises to reach more patients and treat them more quickly and more cheaply. With this new enthusiasm and hope we this review gives an update on the new drugs and perspectives for the treatment of drug-susceptible and drug-resistant tuberculosis. (C) 2017 Published by Elsevier Espana, S.L.U.
引用
收藏
页码:86 / 98
页数:13
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