1. [EVALUATION OF THE EFFICIENCY OF TREATMENT AND THE CHOICE OF CONTROL COMPUTED TOMOGRAPHY TIME IN CHILDREN WITH MINOR FORMS OF INTRATHORACIC TUBERCULOSIS].
- Subjects
- Antitubercular Agents administration & dosage, Antitubercular Agents adverse effects, Child, Child, Preschool, Comparative Effectiveness Research, Drug Monitoring methods, Drug Therapy, Combination methods, Female, Humans, Male, Outcome Assessment, Health Care, Thorax, Tomography, X-Ray Computed methods, Ethambutol administration & dosage, Ethambutol adverse effects, Isoniazid administration & dosage, Isoniazid adverse effects, Lymph Nodes diagnostic imaging, Pyrazinamide administration & dosage, Pyrazinamide adverse effects, Rifampin administration & dosage, Rifampin adverse effects, Tuberculosis, Lymph Node diagnosis, Tuberculosis, Lymph Node drug therapy, Tuberculosis, Pulmonary diagnosis, Tuberculosis, Pulmonary drug therapy
- Abstract
Three chemotherapy regimens (Group 1: 2HRZ/4HR, n = 31; Group 2: 2HRZ/4HZ, n = 33; Group 3: 6HR, n = 33) were comparatively assessed in children with minor forms of intrathoracic tuberculosis diagnosed by the computed tomography (CT). The leading criteria for therapeutic effectiveness were regression of intoxication symptoms and changes in the CT pattern. The results of treatment were equal in all the groups. With the 6HR regimen, varying unavoidable adverse reactions were 4.3-fold less frequently (3.0 ± 3.0% and 12.5 ± 4.1%, respectively; p = 0.25). CT pattern changes by months 2-3 and 6 of therapy were compared. Single control CT investigation by 6 months of therapy was optimal. Additional CT study at 2-3 months of therapy reflected positive changes in most cases, but failed to affect treatment policy.
- Published
- 2010