Arginine supplementation in patients diagnosed with drug-sensitive pulmonary tuberculosis
Acta Medica Philippina
; : 69-80, 2018.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-959714
Responsible library:
WPRO
ABSTRACT
@#<p style="text-align justify;"><strong>OBJECTIVE:
</strong> To determine the effects of arginine in the rates of sputum conversion in patients with drug-sensitive pulmonary tuberculosis.</p><p style="text-align justify;"><strong>METHODS:
</strong> Studies from PubMed, Medline, EMBASE, and Cochrane were reviewed and appropriate studies were included. Randomized controlled trials comparing arginine with placebo in adult patients with drug-sensitive pulmonary tuberculosis were included. The risk of bias was assessed using the Cochrane Risk of Bias tool. A meta-analysis of the rate of sputum conversion at 8 weeks, was conducted. Post hoc analyses of sputum conversion at 4 weeks and cough reduction at 4 and 8 weeks were done.</p><p style="text-align justify;"><strong>RESULTS:
</strong> Three articles included in this study had a pooled population of 452 participants. This meta-analysis showed no significant difference in the sputum conversion at 4 and 8 weeks, with a relative risk of 0.96 (95% CI 0.77-1.20) and 1.07 (95% CI 0.96-1.19), respectively. However, the cough was significantly reduced at 4 and 8 weeks, with subtotal relative risks of 0.91 (95% CI 0.82-1.00) and 0.43 (95% CI 0.22-0.81), and total relative risk for cough reduction of 0.83 (95% CI 0.73-0.93).</p><p style="text-align justify;"><strong>CONCLUSION:
</strong> While arginine may not significantly reduce sputum conversion rates, it may be used as an adjunct to decrease cough in patients with tuberculosis.</p>
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Health context:
SDG3 - Health and Well-Being
/
Neglected Diseases
Health problem:
Target 3.3: End transmission of communicable diseases
/
Neglected Diseases
/
Tuberculosis
Database:
WPRIM (Western Pacific)
Main subject:
Arginine
/
Tuberculosis, Pulmonary
Type of study:
Systematic review
Limits:
Humans
Language:
English
Journal:
Acta Medica Philippina
Year:
2018
Document type:
Article