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Table 1 Descriptive summary of included studies

From: Time to sputum culture conversion and its associated factors among drug-resistant tuberculosis patients: a systematic review and meta-analysis

Authors

Year

(yr)

Country

Region by World Health Organization

Year of the data (yr)

Study design

Sample

size

Mean/median, age (yrs)

Type of TB

Median time (IQR)

2nd-month

Conversion

(%)

Overall conversion (%)

Treatment scheme

Influencing factors of conversion time

Akalu TY

2018

Ethiopia

Africa

2010–2016

Retrospective cohort

392

29.5

RR-TB

MDR-TB

XDR-TB

65 days (60–70)

-

86.7%

-

3, 8, 12, 13, 14

Akinsola OJ

2018

Nigeria

Africa

2012–2016

Retrospective cohort

413

36.8 ± 12.7

MDR-TB

5.5 months (1.5–11.5)

-

58.4%

-

1, 6, 15

Putri FA

2014

Indonesia

Southeast Asia

2009–2011

Retrospective cohort

212

37 ± 12

MDR-TB

XDR-TB

2 months (1–3)

-

81%

A + B

2, 5, 8, 14, 17, 19

Lu P

2017

China

Western Pacific region

2011–2014

Prospective cohort

139

51

MDR-TB

92 days (34–111)

28%

76.3%

A + B

-

Li Q

2019

China

Western Pacific region

2011–2015

Retrospective cohort

365

-

MDR-TB

85 days (42.0–106.5)

-

90.96%

A + B

-

Kurbatova EV

2012

Multiple countries

Multi-region

2000–2003

Retrospective cohort

1416

38

MDR-TB

XDR-TB

3 months (2.0–5.0)

33%

85.4%

-

-

Li Q

2020

China

Western Pacific region

2011–2015

Retrospective cohort

384

41.7 ± 15.4

MDR-TB

85 days (40–112)

-

93.5%

-

1

Liu Q

2018

China

Western Pacific region

2011–2014

Prospective cohort

139

51

MDR-TB

91.5 days (34.0–110.8)

-

76.3%

A + B

1, 2, 3, 4, 8,19

Magee MJ

2014

Georgia

Europe

2009–2011

Prospective cohort

1366

35.1

MDR-TB

68 days (50–120)

-

70.7%

B

1, 2, 3, 4, 5, 6, 8, 10, 12, 18

Ncha R

2019

South Africa

Africa

2012–2014

Retrospective cohort

371

38

MDR-TB

XDR-TB

58.2 days (29–113)

-

70%

-

2, 3, 4, 5, 8, 12, 14

Mpagama SG

2013

Tanzania

Africa

2009–2011

Retrospective cohort

61

36 ± 13

MDR-TB

2 months (1–3)

-

85%

A

-

Huerga H

2017

Kenya

Africa

2006–2012

Retrospective cohort

169

29

MDR-TB

2 months (2–3)

-

73.9%

A + B

-

Bade AB

2021

Ethiopia

Africa

2013–2019

Retrospective cohort

200

32.9 ± 9.5

MDR-TB

31 days (30–61)

79.5%

100%

-

-

Brust JC

2011

South Africa

Africa

2008–2009

Retrospective cohort

45

33

MDR-TB

62 days (48–111)

-

89%

A

-

Magee MJ

2017

South Africa

Africa

2011–2015

Prospective cohort

91

35

MDR-TB

82 days (53–143)

55.5%

96%

A

-

Brust JC

2013

South Africa

Africa

2008–2010

Retrospective cohort

56

36

MDR-TB

66 days (43–96)

32%

95%

A

-

Gadallah MA

2016

Egypt

Africa

2006–2010

Prospective cohort

228

37

MDR-TB

60 days (58–121)

21.3%

87.5%

B

-

Zheng X

2022

China

Western Pacific region

2016–2019

Prospective cohort

197

42.0 ± 9.9

MDR-TB

4 months (2–14)

44.7%

79.2%

A

-

Tierney DB

2014

Peru

America

1990–2002

Retrospective cohort

592

28.7

MDR-TB

59 days (31–92)

-

87.7%

B

-

Lee M

2019

South Korea

Southeast Asia

2011–2015

Retrospective cohort

2472

47 ± 17.0

MDR-TB

61 days (28–109)

-

-

B

-

Javaid A

2018

Pakistan

Eastern Mediterranean

2012–2014

Retrospective cohort

428

30.7 ± 14.35

MDR-TB

58 days (30–90)

56.8%

-

B

8, 11, 12, 15, 16, 19

Hafkin J

2013

Botswana

Africa

2005–2009

Retrospective cohort

HIV-infected:40;non-HIV-infected:30

38

MDR-TB

HIV-infected:78 days (42–186)

non-HIV-infected:95 days (70–133)

-

84%

B

7

Ghimire S

2020

Nepal

Southeast Asia

2014–2016

Retrospective cohort

98

29

MDR-TB

60 days (60–90)

-

82.6%

A

-

Diktanas S

2021

Li Wantao

Europe

2016–2019

Retrospective cohort

115

48 ± 12

MDR-TB

RR-TB

XDR-TB

1.1 months (0.9–1.8)

65.2%

89.6%

-

1, 2, 3, 4, 8, 11, 12, 14

Meshesha MD

2022

Ethiopia

Africa

2014–2018

Retrospective cohort

145

29.6 ± 12.4

MDR/RR-TB

2 months (1–3)

69.7%

-

A + B

2, 9, 10, 12, 14

Tekalegn Y

2020

Ethiopia

Africa

2012–2017

Retrospective cohort

228

28

All DR-TB

61 days (34–92)

46.9%

-

A

5, 12, 14

Velayutham B

2016

India

Southeast Asia

2009–2011

Retrospective cohort

787

-

MDR/RR-TB

91.3 days (91.3–121.7)

-

83%

A

-

Diallo A

2020

Guinea

Africa

2016–2018

Retrospective cohort

118

34

RR-TB

59 days (31–61)

-

89%

A

-

Reimann M

2019

Germany

Europe

2012–2017

Retrospective cohort

non-smoker:20; smoker:45

36.5/37.4

MDR-TB XDR-TB

non-smoker:53 days (19–89)

smoker:60.7 days (33.3–76)

-

-

-

-

Shibabaw A

2018

Ethiopia

Africa

2011–2016

Retrospective cohort

235

30

MDR/RR-TB

72 days (44–123)

-

85.5%

A

5, 7

Ding CH

2021

China

Western Pacific region

2018–2020

Prospective cohort

79

 ≥ 18

MDR-TB

XDR-TB

pre-XDR-TB

4 weeks (2–8)

70.9%

91.1%

C

-

Htun YM

2018

Myanmar

Southeast Asia

2014

Retrospective cohort

330

39.45 ± 13.28

MDR-TB

147 days (94–241)

-

-

A

-

Shi ZY

2021

China

Western Pacific region

2018–2019

Retrospective cohort

38

31

MDR-TB/

XDR-TB

8 weeks (4–16)

68.4%

84.2%

C

-

Kim CT

2018

South Korea

Southeast Asia

2015–2017

Retrospective cohort

55

52

MDR-TB

XDR-TB

119 days (52.5–198.5)

-

70.9%

C

-

Abubakar M

2022

Pakistan

Eastern Mediterranean

2010–2017

Retrospective cohort

355

32.99 ± 14.54

XDR-TB

91 days (59–156)

27.3%

63.6%

B

1, 8, 10, 15, 16, 20

Salindri AD

2016

Georgia

Europe

2011–2014

Prospective cohort

52

47

MDR-TB

XDR-TB

62 days (32–94)

-

84.6%

-

1, 2, 4, 6, 7, 8, 12

Wu GL

2021

China

Western Pacific region

2018–2020

Prospective cohort

16

26 ~ 27

MDR-TB

XDR-TB

8 weeks (4–12)

-

94%

C

-

Pei Y

2021

China

Western Pacific region

2018–2020

Prospective cohort

44

38

MDR-TB

XDR-TB

22 days (18–59)

-

95%

C

-

Kim J

2016

South Korea

Southeast Asia

2009–2012

Retrospective cohort

35

41

MDR-TB

XDR-TB

56 days (0–92)

60%

-

A

-

Shi L

2021

China

Western Pacific region

2018–2019

Retrospective cohort

DM group: 76;

non-DM group: 61

49.8 ± 10.5

49.3 ± 9.7

MDR-TB

XDR-TB

56 days (28–63)

56 days (28–84)

-

95.6%

98.2%

C

-

Rodriguez M

2013

Dominica

America

2006–2010

Retrospective cohort

289

35

MDR-TB

2 months (2–3)

-

86.5%

A + B

-

Parmar MM

2018

India

Southeast Asia

2007–2011

Retrospective cohort

3712

35

MDR-TB

100 days (92–125)

-

73.6%

-

1, 2, 5, 6

Heyckendorf J

2018

Germany

Europe

2013–2016

Prospective cohort

29

36

MDR-TB

XDR-TB

39 days (6–85)

61%

95%

B + C

-

Gao M

2021

China

Western Pacific region

2018.02–12

Prospective cohort

177

40

MDR-TB

XDR-TB

4 weeks (2–8)

67.2%

85.3%

C

-

Borisov SE

2017

Multiple countries

Multi-region

2008–2016

Retrospective cohort

428

35

MDR-TB

XDR-TB

60 days (33–90)

56.7%

91.2%

C

-

  1. A = a standardized regimen; B = an individualized regimen; C = bedaquiline-containing regimens
  2. Note:- = Not described; 1 = Age; 2 = Sex; 3 = Alcohol; 4 = Smoking status; 5 = BMI, kg/m2; 6 = Diabetes; 7 = HIV status; 8 = Sputum smear grading at baseline; 9 = Baseline Hemoglobin (g/dl); 10 = TB treatment history; 11 = History of SLD use; 12 = lung cavity; 13 = Consolidation; 14 = Type of resistance; 15 = Number of resistant drugs; 16 = Resistance to all five first lines drugs; 17 = Resistant to any injectable(s); 18 = Any 2nd line resistance; 19 = Resistance to ofloxacin; 20 = Use of high dose isoniazid