@article{23096, keywords = {Administration, Cutaneous, Administration, Oral, Adult, Aged, Biopsy, Clofazimine, Dapsone, Drug Administration Schedule, Drug Therapy, Combination, Female, Follow-Up Studies, Health Surveys, Humans, Leprostatic Agents, leprosy, Male, Medical Records, Middle Aged, Retrospective Studies, Rifampin, Secondary Prevention, Treatment Outcome, United States}, author = {Dacso MM and Jacobson RR and Scollard D and Stryjewska B and Prestigiacomo J}, title = {Evaluation of multi-drug therapy for leprosy in the United States using daily rifampin.}, abstract = {
OBJECTIVES: To evaluate the occurrence of relapse of multibacillary leprosy after multi-drug treatment including daily rifampin.
METHODS: A retrospective review was performed utilizing data from the National Hansen's Disease Program (NHDP) on patients with leprosy treated and followed from 1988-1997 who received multi-drug therapy including daily rifampin. The occurrence of relapse in this cohort was measured, and demographic data and various clinical variables were also gathered.
RESULTS: Ultimately, 158 cases fulfilled the eligibility criteria. 77% of cases were multibacillary patients and were treated with 2 or 3 drug protocols at rates of 36% and 35% before and after 1992, respectively. Only one case of relapse was found, and this patient underwent 2-drug therapy versus 3-drug therapy.
CONCLUSION: These data are remarkable for the absence of relapse with daily rifampin, as contrasted with the published experience using the WHO protocol with monthly rifampin.
}, year = {2011}, journal = {Southern medical journal}, volume = {104}, pages = {689-94}, month = {2011 Oct}, issn = {1541-8243}, doi = {10.1097/SMJ.0b013e31822d6014}, language = {eng}, }