Role of Clofazimine in Treatment of Mycobacterium avium Complex

Frontiers in Medicine

article

Mohammad Javad Nasiri¹  Tess Calcagno²  Sareh Sadat Hosseini³  Ali Hematian³  Neda Yousefi Nojookambari³  Mohammadmahdi Karimi-Yazdi⁴  Mehdi Mirsaeidi⁵ 

[1] Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences;Department of Medicine, University of Miami, United States;Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences;Faculty of Paramedical Sciences, Mazandaran University of Medical Sciences;Division of Pulmonary and Critical Care, University of Miami, United States

关键词: clofazimine;    Mycobacterium avium complex;    pulmonary disease;    mycobacteria;    MAC;   

DOI  :  10.3389/fmed.2021.638306

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background: Non-tuberculous mycobacteria (NTM), specifically Mycobacterium avium complex (MAC), is an increasingly prevalent cause of pulmonary dysfunction. Clofazimine has been shown to be effective for the treatment of M. avium complex, but there were no published large-scale analyses comparing clofazimine to non-clofazimine regimens in MAC treatment. The objective of this large-scale meta-analysis was to evaluate patient characteristics and treatment outcomes of individuals diagnosed with MAC and treated with a clofazimine-based regimen. Methods: We used Pubmed/Medline, Embase, Web of Science, and the Cochrane Library to search for studies published from January 1, 1990 to February 9, 2020. Two reviewers (SSH and NY) extracted the data from all eligible studies and differences were resolved by consensus. Statistical analyses were performed with STATA (version 14, IC; Stata Corporation, College Station, TX, USA). Results: The pooled success treatment rate with 95% confidence intervals (CI) was assessed using random effect model. The estimated pooled treatment success rates were 56.8% in clofazimine and 67.9% in non-clofazimine groups. Notably, success rates were higher (58.7%) in treatment of HIV patients with disseminated infection. Conclusions: Treatment was more successful in the non-clofazimine group overall. However, HIV patients with disseminated infection had higher treatment response rates than non-HIV patients within the clofazimine group.

【 授权许可】

CC BY