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Table 1 Maternal TB and pregnancy characteristics at start of TB treatment by HIV status (n = 35)

From: Treatment and pregnancy outcomes of pregnant women exposed to second-line anti-tuberculosis drugs in South Africa

 

Total

HIV Negative (n = 11)

HIV Positive

(n = 24)

p-value*

N (%)

N (%)

N (%)

 

Age, Med (IQR)

30.0 (25.0–31.0)

27.0 (24.0–35.0)

30.1 (28.0–35.0)

 

18–29

16 (45.7)

7 (43.8)

9 (56.2)

0.150

 ≥ 30

19 (54.3)

4 (21.1)

15 (78.9)

 

Marital status

 In a relationship/married

7 (20.0)

4 (36.4)

3 (12.5)

0.082

 Single, not in a relationship

19 (54.3)

3 (27.3)

16 (66.7)

 

 Missing

9 (25.7)

4 (36.4)

5 (20.8)

 

Employment

 Employed

9 (25.7)

2 (18.2)

7 (27.2)

0.442

 Unemployed

21 (60.0)

6 (54.5)

15 (62.5)

 

 Missing

5 (14.3)

3 (27.3)

2 (8.3)

 

Highest education level

 Less than Grade 12

9 (25.7)

3 (27.3)

6 (25.0)

0.367

 Grade 12 and above

8 (22.9)

4 (36.4)

4 (16.7)

 

 Missing

18 (51.4)

4 (36.4)

14 (58.3)

 

Nationality

 South African

30 (85.7)

8 (72.7)

22 (91.7)

0.200

 Non-South African

2 (5.7)

1 (9.1)

1 (4.2)

 

 Missing

3 (8.6)

2 (18.2)

1 (4.2)

 

Year of MDR/RR-TB treatment registration

 2010–2011

8 (22.9)

2 (18.2)

6 (25.0)

0.578

 2012–2013

16 (45.7)

4 (36.4)

12 (50.0)

 

 2014–2016

11 (31.4)

5 (45.5)

6 (25.0)

 

DR-TB treatment site type

 Centralized site

12 (34.3)

3 (27.3)

9 (37.5)

0.554

 Decentralized site

23 (65.7)

8 (72.73)

15 (62.5)

 

Baseline CD4, cells/mm3Med (IQR)

-

-

145 (51–301)

-

  < 50

-

-

4 (16.7)

-

 51–250

-

-

9 (37.5)

-

  > 250

-

-

6 (25.0)

-

 Missing

-

-

5 (20.8)

-

ART status

    

 On ART

-

-

20 (83.3)

-

 ART status unknown

-

-

4 (16.7)

-

HIV positive on ART before TB treatment

 Yes

-

-

12 (60.0)

-

 No

-

-

6 (30.0)

-

 Unknown

  

2 (10.0)

-

ART regimen

 FDC (TDF + 3TC/FTC + EFV/NVP)

-

-

9 (45.0)

-

 d4T/AZT-3TC-EFV/NVP

-

-

9 (45.0)

-

 d4T-3TC-LPV/r

-

-

1 (5.0)

-

 TDF-3TC-LPV/r

-

-

1 (5.0)

-

Patient category

 New

19 (54.3)

6 (54.5)

13 (54.2)

0.419

 Previously treated

13 (37.1)

3 (27.3)

10 (41.7)

 

 Unknown

3 (8.6)

2 (18.2)

1 (4.2)

 

Previously treated TB resistance profile

 RR-TB

2 (15.4)

-

2 (20.0)

1.000

 MDR-TB

6 (46.2)

2 (66.7)

4 (40.0)

 

 Missing

5 (38.5)

1 (33.3)

4 (40.0)

 

Previously treated TB treatment outcomes

 Completed

6 (46.2)

-

6 (60.0)

0.031

 Cured

2 (15.4)

-

2 (20.0)

 

 Treatment failure

4 (30.8)

3 (100.0)

1 (10.0)

 

 Unknown

1 (7.7)

-

1 (10.0)

 

TB disease type

 PTB

22 (62.9)

9 (81.8)

13 (54.2)

0.452

 EPTB

9 (25.7)

2 (18.2)

7 (29.2)

 

 Both PTB and EPTB

3 (8.6)

-

3 (12.5)

 

 Missing

1 (2.9)

-

1 (4.1)

 

Resistance profile

 RR-TB

18 (51.4)

2 (18.2)

16 (66.7)

0.009

 MDR-TB

12 (34.3)

5 (45.4)

7 (29.2)

 

 XDR-TB

2 (5.7)

2 (18.2)

-

 

 Missing

3 (8.6)

2 (18.2)

1 (4.1)

 

TB treatment regimen

 Standard second-line TB regimen

10 (28.6)

4 (36.4)

6 (25.0)

0.490

 Individualized regimen with second-line drugs

25 (71.4)

7 (63.6)

18 (75.0)

 

Pregnant at MDR/RR-TB treatment initiation

 Yes

31 (88.6)

9 (81.8)

22 (91.7)

0.575

 No

4 (11.4)

2 (18.2)

2 (8.3)

 

Time to pregnancy onset, Med (IQR)

10.9 (5.5–16.4)

5.5 (4.0–7.1)

16.4 (14.7–18.1)

0.121

  1. TB Tuberculosis, PTB Pulmonary TB, EPTB Extra-pulmonary TB, RR-TB Rifampicin-resistant TB, MDR-TB Multidrug-resistant TB, XDR-TB Extensively drug-resistant TB, Med median, IQR Interquartile range, ART Antiretroviral therapy, FDC Fixed-dose combination, TDF Tenofovir, EFV Efavirenz, NVP Nevirapine, d4t Stavudine, AZT Zidovudine, 3TC Lamivudine, LPV/r Lopinavir/ritonavir
  2. P values from Chi-square or Fisher’s exact tests. Chi-squared, P < 0.05- statistically significant