Alternative measures of response to MDR-TB (drug-resistant tuberculosis) therapy Infections and Infestations
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adults >18 years of age 2. Have a productive cough 3. Sputum specimens that are positive for acid fast bacilli by microscopy (1+ to 3+, smear-positive) 4. Have been classified as MDR TB
Exclusion criteria
Exclusion criteria: 1. Prisoners 2. Subjects <18 years of age 3. Patients who are unable to provide =3mL of sputum specimen for testing 4. Patients on anti-TB treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sputum bacterial load burden, measured using Culture colony forming units (CFUs) as a reference standard, with MGIT time to positivity, Xpert PMA, FDA, Smear Microscopy, and TB-MBLA measured at weeks 0, 2, 4, 6, 8, 12 and 16 | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Patient clinical characteristics will be collected using a detailed data collection tool at baseline (week 0) 2. Baseline resistance profiles will be collected from the existing patient records at the clinic and tested using phenotypic drug susceptibility testing (DST) whenever possible 3. Adherence measured using available clinical data and as collected by the study nurse during MDR-TB treatment 4. HIV-status will be collected as documented in the clinic patient records at baseline | — |
Countries
Uganda