TY - JOUR KW - Administration, Cutaneous KW - Administration, Oral KW - Adult KW - Aged KW - Biopsy KW - Clofazimine KW - Dapsone KW - Drug Administration Schedule KW - Drug Therapy, Combination KW - Female KW - Follow-Up Studies KW - Health Surveys KW - Humans KW - Leprostatic Agents KW - leprosy KW - Male KW - Medical Records KW - Middle Aged KW - Retrospective Studies KW - Rifampin KW - Secondary Prevention KW - Treatment Outcome KW - United States AU - Dacso MM AU - Jacobson RR AU - Scollard D AU - Stryjewska B AU - Prestigiacomo J AB -

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.

BT - Southern medical journal C1 - http://www.ncbi.nlm.nih.gov/pubmed/21941157?dopt=Abstract DA - 2011 Oct DO - 10.1097/SMJ.0b013e31822d6014 IS - 10 J2 - South. Med. J. LA - eng N2 -

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.

PY - 2011 SP - 689 EP - 94 T2 - Southern medical journal TI - Evaluation of multi-drug therapy for leprosy in the United States using daily rifampin. VL - 104 SN - 1541-8243 ER -