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Levofloxacin for the Prevention of Multidrug-Resistant Tuberculosis

Greg J Fox, Nguyen Viet Nhung, Guy B Marks

New England Journal of Medicine, 2025

1 citation

Abstract

To the Editor: The articles by Fox et al. 1 and Hesseling et al. 2 and the editorial by Dorman 3 (Dec. 19/26 issue) on the use of levofloxacin for tuberculosis prevention underscore the many difficulties that investigators face when approaching populations at risk. Despite the strengths of the trials, the pill-counting and questionnaire methods that were used to assess adherence are known to have numerous shortcomings. 4 Given the multiple difficulties in conducting these trials, was any effort made to measure blood drug levels in trial participants? Because differences in adherence, absorption, and metabolism may play an important role in trial outcomes, pharmacokinetic . . .

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