Research Article

Resistance to Second-Line Antituberculosis Drugs and Delay in Drug Susceptibility Testing among Multidrug-Resistant Tuberculosis Patients in Shanghai

Table 3

Multivariate analysis of resistance to second-line drugs in longer/shorter diagnostic delays.

Diagnostic delays (days)Adjusted OR (95% CI) for a delay longer than median days
Resistance to SLDsResistance to OfxResistance to Am/KmResistance to CmXDR-TB

Total delay in DST completion
(>136 versus ≤136)
2.22 (1.19–4.11)2.03 (1.05–3.93)1.13 (0.52–2.47)1.39 (0.66–2.91)1.22 (0.53–2.84)

Delay in TB diagnosis
(>33 versus ≤33)
0.84 (0.47–1.51)0.85 (0.45–1.58)0.56 (0.26–1.21)0.66 (0.33–1.35)0.52 (0.22–1.21)

Health system delay in DST completion
(>92 versus ≤92)
3.44 (1.79–6.61)2.59 (1.32–5.09)1.18 (0.54–2.55)1.65 (0.79–3.45)1.31 (0.57–3.03)

OR, odds ratio; CI, confidence interval; SLDs, second-line drugs; Ofx, ofloxacin; Am, amikacin; Km, kanamycin; Cm, capreomycin; XDR-TB, extensively drug-resistant tuberculosis; DST, drug susceptibility testing.
ORs were adjusted for age at diagnosis (continuous), sex, residence, level of TB hospital, and previous TB history.
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