West meets East - WHO tuberculosis treatment

N.B. Please note that if you are outside North America, the embargo for Lancet press material is 0001 hours UK time Friday 10th August 2001.

Results of a tuberculosis trial, published in this weeks issue of THE LANCET, suggest that a WHO strategy could make a valuable contribution to tuberculosis control in Russia.

There has been a resurgence of tuberculosis in Russia in the past decade, mainly due to the collapse of the health-care infrastructure in the 1980s and early 1990s. Traditional Russian services for treatment of tuberculosis are very different from those in the West. Patients suspected of having the disease are referred to specialist tuberculosis hospitals or sanatoria. Treatment methods combine chemotherapy with a range of additional treatments, some of which predate the chemotherapy era (10% of patients undergo surgery); long periods of hospitalisation are common. Nicholas Banatvala and colleagues from Merlin (a UK-based international health-care agency) compared the effects of WHO short-course chemotherapy with standard Russian antituberculous treatment.

New adult tuberculosis patients were included in a trial and allocated to receive either traditional Russian tuberculosis treatments or WHO short-course chemotherapy in the two largest tuberculosis diagnostic and treatment centres of Tomsk Oblast, western Siberia. Standard WHO tuberculosis outcomes and rates of sputum conversion were used as primary outcomes.

646 patients took part in the trial; 356 patients were given Russian tuberculosis treatment (155 smear positive) and 290 were given WHO short-course chemotherapy (155 smear positive). There was no statistical difference between the proportion cured or completing treatment (63% for both groups), or in the proportion of patients who died (8% WHO, 11% Russian treatment).

In an accompanying Commentary (p 434), Richard Coker from the London School of Hygiene and Tropical Medicine, UK, states that t

Contact: Richard Lane

Page: 1 2

Related medicine news :

1. Congress of Neuological Surgeons meets in San Francisco
2. HIV drug content in developing countries meets U.S. standards
3. East meets West with a traditional herbal cure for jaundice
4. American Chemical Society meets April 7-11 in Orlando
5. Strategy effective against drug resistant tuberculosis
6. Simple sputum test for confirmation of childhood tuberculosis
7. Risk of tuberculosis doubles in first year of HIV infection
8. Novel antibiotic shows promise in shortening treatment duration of tuberculosis
9. NIH awards OHSU $4 million biodefense contract to study tuberculosis
10. Researchers open new line of attack on tuberculosis
11. 2005 global tuberculosis targets may be out of reach

Post Your Comments:

(Date:12/5/2019)... ... December 05, 2019 , ... Abide, the #1 Christian meditation ... times this year using Bible-based bedtime stories. Listeners have recovered from bad dreams and ... the Center for Disease Control, one third of Americans suffer from poor sleep, which ...
(Date:12/5/2019)... (PRWEB) , ... December 05, 2019 , ... ... with milestones ranging from launching exceptional products that help people embrace, achieve, and ... world. , “We’ve never been more committed to our mission of impacting world ...
(Date:12/4/2019)... BY THE SEA, Calif. (PRWEB) , ... December ... ... Pear fruit, trademarked as Tex-OE, Opuntia Mesocarp Extract®, provides protection from disruptions to ... extract, effective at countering the menace of Jet Lag, is available in a ...
(Date:12/4/2019)... ... , ... While the holidays are a time for joy and sharing, they ... Extension Service specialists. , “There are many behavioral and logistical changes ... said Joyce Cavanagh, AgriLife Extension specialist in family economics, College Station. , Prioritize and ...
(Date:12/2/2019)... ... ... More than $400 million dollars are forfeited in FSA funds to the use-it-or-lose-it ... funds throughout the year, many more wait to the last-minute --- sometimes even right ... holders use -- not lose -- their funds this year, FSAstore.com is ...
Breaking Medicine News(10 mins):
(Date:12/8/2019)... ... December 07, 2019 , ... Intelligent.com Announces Best ... career opportunities upon graduation from these top ranked institutions. , Intelligent.com, a trusted ... 44 Nutrition Degree Programs for 2020. The comprehensive research guide is based on ...
(Date:12/8/2019)... ... December 07, 2019 , ... The 12-Step fellowship, Nicotine ... face-to-face mutual support groups in 32 countries. At meetings members share their experience ... provide several daily phone and internet meetings. This expands the means by which ...
(Date:12/8/2019)... ... December 08, 2019 , ... Intelligent.com, a trusted resource for ... Master's in Healthcare Administration Degree Programs for 2020. The comprehensive research guide is ... Each program is evaluated based on curriculum quality, graduation rate, reputation, and post-graduate ...
Breaking Medicine Technology:
Cached News: