高齢者を対象とした抗結核薬の副作用発生に関与する危険因子の検討

書誌事項

タイトル別名
  • RISK FACTORS FOR SIDE EFFECTS DUE TO THE USE OF ANTITUBERCULOUS DRUGS IN ELDERLY PATIENTS
  • コウレイシャ オ タイショウ ト シタ コウケッカクヤク ノ フクサヨウ ハッセイ ニ カンヨスル キケン インシ ノ ケントウ

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説明

[Purpose] This study was designed to evaluate incidence of clinical risk factors for side effects due to the use of antituberculous drugs.<BR>[Method] We re trospectively analyzed clinical records of 229 elderly patients with tuberculosis treated at our hospital. [Results] Temporary stop of antituberculous thera py proved to be needed because of side effects in 77 patients (33.6%). Adverse effects leading to drug discontinuation were liver dysfunction (15.7%), gastrointestinal dysfunction (7.0%), and skin rash (5.7%); other effects accounted for discontinuation in 5.2%. Risk factors for liver dysfunction according to Cox proportional hazards regression analysis were complications of HCV infection (hazard ratio or HR, 2.97; 95% confidence interval or Cl, 1.20 to 7.38; p = 0.019); hepaocellular injury present at admission (HR, 3.37; 95 % CI, 1.56 to 7.29; p=0.002); and dose of isoniazid (per mg/kg, HR, 1.40; 95% CI, 1.05 to 1.85; p=0.02). Body mass index was a risk factor for gastrointestinal dysfunction (per kg/m2, HR, 0.83; 95% Cl, 0.70 to 0.98; p =0.026).<BR>[Conclusion] Such identification of risk factors for side effects from antituberculous therapy in elderly tuberculosis patients would minimize adverse effects.

収録刊行物

  • 結核

    結核 83 (6), 457-463, 2008

    一般社団法人 日本結核・非結核性抗酸菌症学会

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