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Table 2 Study characteristics in Multibacillary Leprosy

From: World Health Organization (WHO) antibiotic regimen against other regimens for the treatment of leprosy: a systematic review and meta-analysis

Study

Study Design

Country

Follow Up (years)

N

Age (Years)

Diagnosis

Control Used

Evaluated Outcome

Balagon 2011 [28]

Cohort

Philippines

2

589

6–73

NR

MDT 2y

Type II reaction

Bathki, 1992 [29]

RCT

India

2

16

NR

Clinical and smear

MDT + vaccine

BI

Fajardo, 2009 [30]

RCT

Philippines

12

1483

15–64

Clinical and smear

-MDT 1y

- 1 month of daily RFP + ofloxacin

-MDT 1y + 1-month daily RFP/ofloxacin

-Relapse

-Skin smear

Fernandes Pena 2012 [31]

RCT

Brazil

4.9

613

Mean 40.15

NR

Monthly RFP, dapsone and clofazimine daily × 6 m

Type I or II or pure neuritis

Gunawan, 2018 [32]

RCT

Indonesia

0.25

14

41. 71±12.53

BI and smear

clarithromycin+ dapsone+ clofazimine

BI

Jadhav, 1992 [33]

RCT

India

2

88

Mean 24

Smear

RFP daily for 9 months and then 1 month till the end of 2 years + dapsone + clofazimine daily

-BI

-Morphological index

Maghanoy, 2018 [34]

RCT

Philippines

2

100

Median 30

NR

MDT + 12 months of clofazimine

Type II reaction

Oliveira Penna. 2017 [35]

RCT

Brazil

5

613

Mean 40.2

NR

RFP + dapsone + clofazimine × 6 m

-BI

-Type I and II reactions

-Disability

-Relapse rate

Rao 2009 [27]

Not randomized

India

2

32

NR

Clinical

RFP + dapsone + clofazimine × 6 m

Clinical and histopathological score

Sampoonachot, 1997 [36]

RCT

Thailand

6

60

12–75

NR

-MDT + ofloxacin.

- ofloxacin + clofazimine, then MDT

-BI

-Histological improvement

Shaw, 2003 [37]

Not randomized

India

2

44

37.2 ± 14.3

NR

RFP + clofazimine+ acedapsone + dapsone

BI

Souza Cunha 2012 [38]

RCT

Brazil

7 after the end of tx

198

NR

Untreated MB with BI  2

-MDT 1y + 1 m of ofloxacin

-MDT 1y + 1 m of daily ofloxacin

-MDT 1y + daily RFP

Relapse

Tejasvi, 2006 [39]

RCT

India

1

30

27.67 ± 13.08 31.50 ± 17.03

NR

RFP+ sparfloxacin + clarithromycin + minocycline

-BI

-Morphological index

-Histopathology

-Clinical evaluation

Villahermosa, 2004 [40]

RCT

Philippines

2. Additional 8y

21

16–59

Clinical and smear (>  1 of 6 smear sites having a BI  1)

ROM (24 consecutive monthly observed doses of rifampin (600 mg), ofloxacin (400 mg), and minocycline (100 mg).

Lesion resolution

  1. Abbreviations.- BI Bacilar index, MB Multibacilar; MDT Multidrug Treatment, NR Not reported, RFP Rifampin, ROM Rifampin-ofloxacin-minocycline Tx Treatment; RCT Randomized Controlled Trial