World Health Organization recommendations for multidrug-resistant tuberculosis: should different standards be applied?

The World Health Organization uses a Grading of Recommendations Assessment, Development, and Evaluation process to make recommendations for treating multidrug-resistant tuberculosis. Even with this standardized approach, there have been discrepancies between recommendations for newer drugs such as b...

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Veröffentlicht in:The international journal of tuberculosis and lung disease 2017-12, Vol.21 (12), p.1211-1213
Hauptverfasser: Cox, V., Furin, J.
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container_issue 12
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container_title The international journal of tuberculosis and lung disease
container_volume 21
creator Cox, V.
Furin, J.
description The World Health Organization uses a Grading of Recommendations Assessment, Development, and Evaluation process to make recommendations for treating multidrug-resistant tuberculosis. Even with this standardized approach, there have been discrepancies between recommendations for newer drugs such as bedaquiline and delamanid and the shorter regimen. This may be because newer drugs are novel chemical entities and may merit closer scrutiny. Here, we explore the problematic nature of this supposition, arguing that although the newer drugs have been used in fewer individuals, they may have more robust efficacy and safety data than many of the second-line drugs used in the shorter regimen.
doi_str_mv 10.5588/ijtld.17.0199
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subjects Antitubercular Agents - administration & dosage
Antitubercular Agents - adverse effects
Bedaquiline
Delamanid
Diarylquinolines - administration & dosage
Diarylquinolines - adverse effects
Drug Administration Schedule
Drug resistance
Drugs
Evaluation
Guidelines
Humans
Multidrug resistance
Multidrug resistant organisms
Nitroimidazoles - administration & dosage
Nitroimidazoles - adverse effects
Oxazoles - administration & dosage
Oxazoles - adverse effects
Practice Guidelines as Topic
Shorter Regimen
Tuberculosis
Tuberculosis, Multidrug-Resistant - drug therapy
Tuberculosis, Multidrug-Resistant - microbiology
Who
World Health Organization
title World Health Organization recommendations for multidrug-resistant tuberculosis: should different standards be applied?
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