Drug-Resistant Tuberculosis

Drug-resistant strains of tuberculosis accounted for approximately half a million new cases each year. Treatment for drug-resistant TB (DR-TB) is a dynamic area. DR-TB treatment, although decreasing in duration, continues to be long, often with terrible side effects, and only half of those treated are cured.

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Drug-Resistant Tuberculosis

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Our work in drug-resistant TB

The Union advocates for increased research and development, and conducts clinical trials to reduce treatment time and improve outcomes for patients in countries with the highest burdens of disease.

The Union also provides practical and experience-based support to countries implementing care for people with DR-TB. Our expertise is based on our extensive research with partners supporting the nine-month regimen, including partnering on the first randomised control trial into a new regimen for multidrug-resistant TB (TREAT TB).

With the new World Health Organization guidelines focusing on shorter, all oral, regimens for MDR-TB, The Union continues to support countries to implement the latest evidence-based treatments.

TREAT TB

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Read more about TREAT TB (Technology, Research, Education and Technical Assistance for Tuberculosis), an ambitious initiative that was launched by The Union, seeking to contribute new knowledge regarding shorter, more tolerable treatment regimens for MDR-TB.

OTHER AREAS OF OUR WORK IN TUBERCULOSIS

You might also be interested in our work on child and adolescent TB and TB-HIV, TB-diabetes and co-morbidities.

Past work that has influenced practice

Union study supports shorter treatment for multidrug-resistant TB

The Union used an operational research approach to test a shortened treatment regimen for multidrug-resistant TB. The study first demonstrated a greater than 80% success rate in Bangladesh, Cameroon and Niger and The Union continued to work to develop and implement shorter more effective regimens for the treatment of MDR-TB.

DR-TB Union news

DR-TB publications

Compliance with intermittent preventive malaria treatment in pregnancy at a tertiary hospital in Sierra Leone

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In this article, part of the TB, HIV and Malaria Series to be published in the Q2 issue of PHA, the authors examine uptake of intermittent preventive treatment in pregnancy in Sierra Leone, showing low compliance with the recommended minimum of three doses, largely associated with insufficient antenatal care contacts.

Mapping Malaria Hotspots through Spatial and Spatio-Temporal Analysis in Sierra Leone, 2021-2024

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In this article part of the TB, HIV and Malaria Series to be published in the Q2 issue of PHA, the authors analyse the spatial and temporal distribution of malaria in Sierra Leone, identifying persistent hotspots and no significant association with rainfall. The findings highlight the need for targeted, subnational interventions to address persistent hotspots.

Parenteral artesunate compliance and hospital outcomes in children under-five with suspected severe malaria in Sierra Leone

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In this article, part of the TB, HIV and Malaria Series to be published in the Q2 issue of PHA, the authors assess adherence to national severe malaria management guidelines in children under five in Sierra Leone and its association with hospital outcomes, highlighting suboptimal artesunate dosing and related adverse outcomes.