Low Post-Treatment Recurrence After a Shortened All-oral Regimen for Pulmonary Rifampicin- or Multidrug-Resistant Tuberculosis in Individuals without Prior Second-Line Drug Exposure in Kazakhstan

We conducted a prospective cohort study of adults with pulmonary MDR/RR-TB in Kazakhstan treated with one of three all-oral, five-drug regimens. Individuals were followed microbiologically and clinically for up to 12 months post-treatment. Of 578 with favorable end-of-treatment outcomes, we observed only one incident case of recurrent TB (0.2%, 95%CI: 0.0-1.0%), suggesting excellent regimen durability under programmatic conditions.

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Publication Details

Journal
Clinical Infectious Diseases
Published
2026-07-01
DOI
https://doi.org/10.1093/cid/ciag391
Primary Topic
Tuberculosis Research and Epidemiology
Type
article
Field-Weighted Citation Impact
0.00
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article

Low Post-Treatment Recurrence After a Shortened All-oral Regimen for Pulmonary Rifampicin- or Multidrug-Resistant Tuberculosis in Individuals without Prior Second-Line Drug Exposure in Kazakhstan

Letizia Trevisi, Allison LaHood, Elena Algozhina, Makhmujan Rashitov et al.
Clinical Infectious Diseases
Tuberculosis Research and Epidemiology
article

Low Post-Treatment Recurrence After a Shortened All-oral Regimen for Pulmonary Rifampicin- or Multidrug-Resistant Tuberculosis in Individuals without Prior Second-Line Drug Exposure in Kazakhstan

Letizia Trevisi, Allison LaHood, Elena Algozhina, Makhmujan Rashitov, Carole D. Mitnick, Michael Rich, Molly Forrest Franke, Nataliya Arlyapova, Kwonjune J. Seung, Edmund Shen, Yerkebulan Algozhin
article en

Abstract

We conducted a prospective cohort study of adults with pulmonary MDR/RR-TB in Kazakhstan treated with one of three all-oral, five-drug regimens. Individuals were followed microbiologically and clinically for up to 12 months post-treatment. Of 578 with favorable end-of-treatment outcomes, we observed only one incident case of recurrent TB (0.2%, 95%CI: 0.0-1.0%), suggesting excellent regimen durability under programmatic conditions.

Clinical Infectious Diseases
Almaty Management University (KZ), Partners In Health (US), Harvard University (US), University of Massachusetts Boston (US), Harvard Global Health Institute (US)
Good health and well-being
Openalex Percentile: Top 8%
Tuberculosis Research and Epidemiology
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