Publications by authors named "Linda Barkane"

Following the introduction of all-oral treatment regimens for patients with drug-resistant tuberculosis (TB), second-line injectable drug applications have been reduced in the last few years. However, they are still important for anti-TB therapy. This study aims to analyze the occurrence of amikacin- and capreomycin-related adverse drug reactions (ADR) in patients with multidrug-resistant tuberculosis (MDR-TB) and evaluate the role of multiple patient-, disease-, and therapy-related factors on the frequency of the observed adverse events.

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Multidrug resistant tuberculosis (MDR-TB) is a severe disease that requires prolonged chemotherapy and is associated with an increased probability of treatment failure and death. MDR-TB is a state of heightened oxidative stress and inflammation, which could be related to the aging-related processes and immunosenescence. We, therefore, tested the hypothesis that MDR-TB is associated with alterations in aging biomarkers in peripheral blood cells.

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Introduction: Global multidrug-resistant tuberculosis (MDR-TB) treatment success rates remain suboptimal. Highly active WHO group A drugs moxifloxacin and levofloxacin show intraindividual and interindividual pharmacokinetic variability which can cause low drug exposure. Therefore, therapeutic drug monitoring (TDM) of fluoroquinolones is recommended to personalise the drug dosage, aiming to prevent the development of drug resistance and optimise treatment.

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Article Synopsis
  • Treatment of multidrug-resistant tuberculosis involves long-term use of second-line drugs, which can cause serious side effects like deafness and even death.
  • A meta-analysis was conducted using individual patient data from studies on adverse events that required stopping anti-tuberculosis treatment, focusing on data from 2009-2016 and additional information from a WHO request in 2018.
  • Findings revealed that certain drugs, such as levofloxacin and moxifloxacin, had low rates of adverse events resulting in treatment discontinuation, while second-line injectable drugs like amikacin showed higher rates of severe side effects.
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