title: SIDE EFFECTS OF TUBERCULOSIS TREATMENT WITH FIXED-DOSE COMBINATIONS.
abstract: This paper aimed to explore the therapeutic effect and safety of Fixed-dose Combinations (FDCs) on tuberculosis. A computer search was carried out to review the literature related to clinical randomized controlled trials (RCTs) and clinical controlled trails (CCTs) on the curative effect and safety of treating pulmonary tuberculosis with FDCs. The results demonstrated that, in the 22 studies examined, comparison of sputum negative conservation rate of treating smear-positive pulmonary tuberculosis with FDCs and single drug, the relative risk (RR) value and 95% confidence interval (CI) were 1.02 (1.01, 1.03) and 1.01 (1.00, 1.02), respectively, at the end of the 2nd month and 6th month (P<0.05), while comparison of the relapse rate within six months showed that RR value and 95% CI was 1.72 (0.98, 3.02) (P>0.05). No statistically significant differences were found between the two groups in total occurrence of the rates of side effects pertaining to skin reaction, gastrointestinal tract side reaction, occurrence rate of liver and gall side reaction or occurrence rate of drug withdrawal because of side effects (P>0.05). After sensitivity analysis, it was found that occurrence rate of gastrointestinal tract side effects and occurrence rate of liver and gall side effects were unstable. All the findings suggest that the curative effect of treating tuberculosis with FDCs is better than that of a single drug. More reliable evidence is required since the safety evaluation results are not stable.
authors.affiliation: Tuberculosis Medicine, the First Affiliated Hospital of Xinxiang Medical University, Weihui, China.
authors.forename: H Q
authors.initials: HQ
authors.lastname: Zhang
authors.affiliation: Tuberculosis Medicine, the First Affiliated Hospital of Xinxiang Medical University, Weihui, China.
authors.forename: X E
authors.initials: XE
authors.lastname: Xi
authors.affiliation: Tuberculosis Medicine, the First Affiliated Hospital of Xinxiang Medical University, Weihui, China.
authors.forename: Y L
authors.initials: YL
authors.lastname: Wang
authors.affiliation: Tuberculosis Medicine, the First Affiliated Hospital of Xinxiang Medical University, Weihui, China.
authors.forename: W
authors.initials: W
authors.lastname: Han
authors.affiliation: Tuberculosis Medicine, the First Affiliated Hospital of Xinxiang Medical University, Weihui, China.
authors.forename: C X
authors.initials: CX
authors.lastname: Zhang
authors.affiliation: Tuberculosis Medicine, the First Affiliated Hospital of Xinxiang Medical University, Weihui, China.
authors.forename: J H
authors.initials: JH
authors.lastname: Jiao
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000995:Antitubercular Agents / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D056486:Chemical and Drug Induced Liver Injury / Q000453:epidemiology / Q000209:etiology; D018849:Controlled Clinical Trials as Topic / Q000706:statistics & numerical data; D004305:Dose-Response Relationship, Drug; D004338:Drug Combinations; D003875:Drug Eruptions / Q000453:epidemiology / Q000209:etiology; D005260:Female; D005705:Gallbladder Diseases / Q000139:chemically induced / Q000453:epidemiology; D005767:Gastrointestinal Diseases / Q000139:chemically induced / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D016032:Randomized Controlled Trials as Topic / Q000706:statistics & numerical data; D012008:Recurrence; D012306:Risk; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy*; D055815:Young Adult
chemical_list: D000995:Antitubercular Agents; D004338:Drug Combinations