Drug-resistant tuberculosis treatment


SAT  self-administered therapy (also meaning unsupervised treatment) SMS


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SAT 
self-administered therapy (also meaning unsupervised
treatment)
SMS 
short message service (mobile phone text
message)
SRL 
TB Supranational Reference Laboratory
STREAM 
Standard Treatment Regimen of Anti-tuberculosis Drugs for Patients with MDR-TB (trial)
TB 
tuberculosis
USA 
United States of America
USAID 
United States Agency for International Development
US CDC 
United States Centers for Disease Control and Prevention
US FDA 
United States Food and Drug Administration
VOT 
video-observed treatment
WHO 
World Health Organization
XDR-TB 
extensively drug-resistant tuberculosis


Definitions
ix
Definitions
Drug susceptibility testing (DST): in vitro testing using either molecular, genotypic techniques 
to detect resistance-conferring mutations , or phenotypic methods to determine susceptibility to a 
medicine.
1
Extensive (or advanced) tuberculosis (TB) disease: presence of bilateral cavitary disease or 
extensive parenchymal damage on chest radiography. In children aged under 15 years, advanced 
disease is usually defined by the presence of cavities or bilateral disease on chest radiography. 
Extensively drug resistant TB (XDR-TB): TB that is resistant to any fluoroquinolone and to at least 
one of three second-line injectable drugs (capreomycin, kanamycin and amikacin), in addition to 
multidrug resistance.
2
Longer multidrug-resistant TB (MDR-TB) regimens: used for treatment of multidrug- or rifampicin-
resistant TB (MDR/RR-TB), these regimens last 18 months or more, and are designed using a hierarchy 
of recommended medicines, including a minimum number of medicines considered to be effective 
based on drug-resistance patterns or patient history. The features and indications of these regimens 
are further elaborated in the Recommendations in these
guidelines.
MDR-TB: TB caused by Mycobacterium Tuberculosis (M. tuberculosis) strains that are resistant to at 
least both rifampicin and
isoniazid.
New case: a newly registered episode of TB in a patient who has never been treated for TB or has 
taken anti-TB medicines for less than 1
month.

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