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Published on: September 5, 2017
Outcomes of children treated for tuberculosis with second-line medications in Georgia, 2009-2011
M Gegia1, H E Jenkins, I Kalandadze
1United States Agency for International Development Georgia TB Prevention Project, Tbilisi, Georgia.
Insights
Pediatric drug-resistant tuberculosis (DR-TB) in Georgia showed a 77.1% success rate with prompt treatment. This national-level study highlights achievable outcomes for children with DR-TB.
Area of Science:
- Public Health
- Infectious Diseases
- Pediatrics
Background:
- Drug-resistant tuberculosis (DR-TB) poses a significant threat in former Soviet Union countries like Georgia.
- Limited research exists on pediatric DR-TB, particularly at a national scale.
Purpose of the Study:
- To characterize pediatric multidrug-resistant TB (MDR-TB) cases in Georgia.
- To evaluate treatment outcomes for pediatric MDR-TB patients in Georgia.
Main Methods:
- Retrospective analysis of pediatric (<16 years) MDR-TB cases notified in Georgia (2009-2011).
- Assessment of baseline characteristics, treatment details, and patient outcomes.
Main Results:
- 45 pediatric DR-TB cases were identified between 2009-2011.
- Median age was 7.7 years; over half had prior TB treatment.
- Successful treatment outcomes were achieved in 77.1% of cases not still on treatment.
Conclusions:
- This study provides national-level data on pediatric DR-TB treatment outcomes in Georgia.
- Successful treatment outcomes are achievable in pediatric DR-TB patients.
Background:
Drug-resistant tuberculosis (DR-TB) is a major public threat in countries of the former Soviet Union, including Georgia. There are few studies of pediatric DR-TB cases, especially at a national level.
Objective:
To report the characteristics and treatment outcomes of pediatric multidrug-resistant TB (MDR-TB) cases in Georgia.
Methods:
We extracted data on all pediatric (age <16 years) MDR-TB cases notified in Georgia from 2009 to 2011. We assessed the baseline and treatment characteristics and treatment outcomes of this cohort.
Results:
Between 2009 and 2011, there were 45 notified pediatric DR-TB cases in Georgia. Just over half had previously received anti-tuberculosis treatment and the median age was 7.7 years. Time from diagnosis to treatment was short (median 16 days), and the median length of treatment was 20.2 months. Of those not still on treatment, 77.1% (95%CI 61.0-87.9) had a successful outcome.
Conclusions:
One of the first reports of pediatric DR-TB treatment outcomes at a national level, this study demonstrates that successful outcomes can be achieved.
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