Team approach to manage difficult-to-treat TB cases: Experiences in Europe and beyond

Autor: J. Caminero Luna, Alena Skrahina, Giovanni Battista Migliori, Simon Tiberi, Lorenzo Guglielmetti, M.A. Salazar Lezama, N. Saavedra Herrera, M. Muñoz Torrico, Graham H. Bothamley, Nicolas Veziris, Lia D'Ambrosio, Raquel Duarte, Marina Tadolini, Marie-Christine Payen
Přispěvatelé: D'Ambrosio, L, Bothamley, G, Caminero Luna, J A, Duarte, R, Guglielmetti, L, Muñoz Torrico, M, Payen, M C, Saavedra Herrera, N, Salazar Lezama, M A, Skrahina, A, Tadolini, M, Tiberi, S, Veziris, N, Migliori, G B, Hospital Universitario de Gran Canaria Dr Negrin, Universidade do Porto, Centre d'Immunologie et de Maladies Infectieuses (CIMI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Sorbonne Université - Faculté de Médecine (SU FM), Sorbonne Université (SU), Centre National de Référence des Mycobactéries et de la Résistance aux Antituberculeux [CHU Pitié-Salpêtrière], CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Université libre de Bruxelles (ULB), CHU Saint-Pierre, Alma Mater Studiorum University of Bologna (UNIBO), Bart's and The London School of Medicine and Dentistry, Queen Mary University of London (QMUL)
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Pulmonology, Vol 24, Iss 2, Pp 132-141 (2018)
Pulmonology
Pulmonology, Elsevier, 2018, 24 (2), pp.132-141. ⟨10.1016/j.rppnen.2017.10.005⟩
Pulmonology, 24 (2
ISSN: 2531-0437
DOI: 10.1016/j.rppnen.2017.10.005⟩
Popis: As recommended by the World Health Organization (WHO), optimal management of MDR-TB cases can be ensured by a multi-speciality consultation body known as ‘TB Consilium’. This body usually includes different medical specialities, competences and perspectives (e.g. clinical expertise both for adults and children; surgical, radiological and public health expertise; psychological background and nursing experience, among others), thus lowering the risk of making mistakes – or managing the patients inappropriately, in order to improve their clinical outcomes. At present, several high MDR-TB burden countries in the different WHO regions (and beyond) have introduced TB Consilium-like bodies at the national or subnational level to reach consensus on the best treatment approach for their patients affected by TB. In addition, in countries/settings where a formal system of consultation does not exist, specialized staff from MDR-TB reference centres or international organizations usually spend a considerable amount of their working time responding to phone or e-mail clinical queries on how to manage M/XDR-TB cases. The aim of this manuscript is to describe the different experiences with the TB Consilia both at the international level (European Respiratory Society – ERS/WHO TB Consilium) and in some of the countries where this experience operates successfully in Europe and beyond. The Consilium experiences are described around the following topics: (1) history, aims and focus; (2) management and funding; (3) technical functioning and structure; (4) results achieved. In addition a comparative analysis of the TB Consilia in the different countries has been performed.
SCOPUS: sh.j
info:eu-repo/semantics/published
Databáze: OpenAIRE
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