Pre-treatment mycobacterial sputum load influences individual on-treatment measurements - 03/12/14
Summary |
Time to culture positivity (TTP) in liquid medium is now widely available as a measure of viable mycobacterial sputum load. TTP correlates well with and could replace colony-forming unit (CFU) counting in studies of antituberculosis drug effects. We investigated the influence of the pre-treatment mycobacterial sputum load on 4428 CFU measurements obtained within the first 14 days of treatment. Using a prediction model we show that pre-treatment CFU counts contribute 29% to the variation of on-treatment CFU counts and increase the precision of the prediction of on-treatment CFU from TTP by 12%. On the other hand, pre-treatment TTP contributed only 12% to the variation of on-treatment TTP and only added 2% to the prediction of TTP from CFU. We conclude pre-treatment measurements are covariates that can enhance the accuracy of statistical estimates of treatment effects, particularly when measured by CFU counts.
Le texte complet de cet article est disponible en PDF.Keywords : Tuberculosis, Antituberculosis treatment, Colony forming units, Time to culture positivity
Plan
Vol 94 - N° 6
P. 690-694 - décembre 2014 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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