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Interventions for Tuberculosis Control and Elimination 2002

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Per cent positive<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

0 4 8 12 16 20<br />

Isoniazid plus thioacetazone<br />

Month of treatment<br />

In East Africa, a comparison of 12-month regimens was carried out with<br />

isoniazid plus thioacetazone throughout, one arm containing streptomycin<br />

during the first two months <strong>and</strong> another arm without streptomycin. 501 It<br />

was demonstrated that the two-month supplement of streptomycin contributed<br />

to a higher cumulative conversion rate (figure 47).<br />

65<br />

INH+PAS<br />

INH+EMB<br />

Figure 46. Sputum conversion among patients receiving isoniazid <strong>and</strong> para-aminosalicylic<br />

acid compared to isoniazid <strong>and</strong> ethambutol. 484<br />

Per cent culture positive<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

12 TH<br />

2 STH / 10 TH<br />

0 2 4 6 8 10 12<br />

Month after start of treatment<br />

Figure 47. Effect on culture conversion of adding two months of streptomycin to<br />

a 12-month regimen of isoniazid <strong>and</strong> thioacetazone. 501

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