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https://www.arca.fiocruz.br/handle/icict/41332
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ArtigoDireito Autoral
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2050-12-31
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RESULTS FROM THE CLINICAL TRIAL OF UNIFORM MULTIDRUG THERAPY FOR LEPROSY PATIENTS IN BRAZIL (U-MDT/CT-BR): DECREASE IN BACTERIOLOGICAL INDEX
Leprostatic agents
Multibacillary Leprosy
Drug therapy
Mycobacterium leprae
Autor(es)
Afiliação
Universidade Federal Fluminense. Departamento de Epidemiologia e Bioestatística. Niterói, RJ, Brasil.
Universidade Federal de Goiás. Instituto de Patologia Tropical e Saúde Pública. Goiânia, GO, Brasil.
Centro de Dermatologia Dona Libânia, Fortaleza, CE, Brasil.
Fundação de Dermatologia e Venereologia Tropical Alfredo da Matta. Manaus, AM, Brasil.
Centro de Dermatologia Dona Libânia, Fortaleza, CE, Brasil.
Universidade de Brasília. Faculdade de Medicina. Núcleo de Medicina Tropical. Brasília, DF, Brasil / Fundação Oswaldo Cruz. Brasília, DF, Brasil.
Universidade Federal de Goiás. Instituto de Patologia Tropical e Saúde Pública. Goiânia, GO, Brasil.
Centro de Dermatologia Dona Libânia, Fortaleza, CE, Brasil.
Fundação de Dermatologia e Venereologia Tropical Alfredo da Matta. Manaus, AM, Brasil.
Centro de Dermatologia Dona Libânia, Fortaleza, CE, Brasil.
Universidade de Brasília. Faculdade de Medicina. Núcleo de Medicina Tropical. Brasília, DF, Brasil / Fundação Oswaldo Cruz. Brasília, DF, Brasil.
Resumo em Inglês
Background: Many believe that the regular treatment for multibacillary (MB) leprosy cases could be shortened. A shorter treatment allowing uniformity in treatment for all cases renders case classification superfluous and therefore simplifies leprosy control. Objective: To evaluate the association between treatment duration and the trend in bacteriological index (BI) decrease over time among patients given Uniform MDT (UMDT) compared to those given regular MDT (RMDT). Methods: An open-label randomised clinical trial to compare the present routine treatment with one lasting six month. Patient intake was from March 2007 to February 2012. To evaluate the trend of BI as a function of time, a multilevel linear with mixed effects model was fixed to the two study groups and also four groups after stratification by BI, less than 3 and 3 or more. Results: The BI fall was higher among those taking RMDT, this difference however was not statistically significant. Conclusion: The results presented here support the possibility of use of UMDT in the field, but further follow up is still needed for a final conclusion.
Palavras-chave em inglês
LeprosyLeprostatic agents
Multibacillary Leprosy
Drug therapy
Mycobacterium leprae
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