@article{19194, keywords = {Adolescent, Adult, Anti-Infective Agents, Child, China, Communicable Disease Control, Drug Therapy, Combination, Female, Humans, Leprostatic Agents, leprosy, Male, Middle Aged, Population Surveillance, Recurrence, World Health Organization}, author = {Li H Y and Hu L F and Wu P W and Luo J S and Liu X M}, title = {Fixed-duration multidrug therapy in multibacillary leprosy.}, abstract = {
Six-hundred-fifty-seven active multibacillary (MB) leprosy patients were put on fixed-duration multidrug therapy (FD-MDT) between 1985 and 1992 (190 had had no and 235 had had previous treatment with dapsone) and were followed for 5 years after therapy. Two relapses occurred during year 5 of surveillance and both had received dapsone prior to chemotherapy, giving an overall relapse rate of 0.08/100 person-years (py). Excluding the two relapses, 99.4% of the MB patients converted to smear negativity at year 6 after a regular course of FD-MDT. The relapse rate for 35 MB patients with an initial bacterial index (BI) of > 4 with 5 years of surveillance was 0.24/100 py. Reactions occurred more frequently during the first 6 months of MDT, decreasing gradually thereafter, and reaching 0 in year 4 of surveillance. The deformity rate at intake was 22.7% and only 1.8% of MB patients developed new deformities or an increased grade in deformity during therapy.
}, year = {1997}, journal = {International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association}, volume = {65}, pages = {230-7}, month = {1997 Jun}, issn = {0148-916X}, url = {http://ila.ilsl.br/pdfs/v65n2a11.pdf}, language = {eng}, }