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Multidisciplinary advisory teams to manage multidrug-resistant tuberculosis: the example of the French Consilium
- Source :
- International Journal of Tuberculosis and Lung Disease, International Journal of Tuberculosis and Lung Disease, International Union Against Tuberculosis and Lung Disease, 2019, 23 (10), pp.1050-1054. ⟨10.5588/ijtld.18.0779⟩
- Publication Year :
- 2019
-
Abstract
- SETTING: The World Health Organization (WHO) recommends that multidrug-resistant tuberculosis (MDR-TB) treatment should be managed in collaboration with multidisciplinary advisory committees (consilia). A formal national Consilium has been established in France since 2005 to provide a centralised advisory service for clinicians managing MDR-TB and extensively drug-resistant (XDR-TB) cases.OBJECTIVE: Review the activity of the French TB Consilium since its establishment.DESIGN: Retrospective description and analysis of the activity of the French TB Consilium.RESULTS: Between 2005 and 2016, 786 TB cases or contacts of TB cases were presented at the French TB Consilium, including respectively 42% and 79% of all the MDR-TB and XDR-TB cases notified in France during this period. Treatment regimens including bedaquiline and/or delamanid were recommended for 42% of the cases presented at the French TB Consilium since 2009. Patients were more likely to be presented at the French TB Consilium if they were born in the WHO Europe Region, had XDR-TB, were diagnosed in the Paris region, or had resistance to additional drugs than those defining XDR-TB.CONCLUSION: The French TB Consilium helped supervise appropriate management of MDR/XDR-TB cases and facilitated implementation of new drugs for MDR/XDR-TB treatment.
- Subjects :
- Pulmonary and Respiratory Medicine
Male
medicine.medical_specialty
Tuberculosis
Extensively Drug-Resistant Tuberculosis
030231 tropical medicine
Advisory Committees
Antitubercular Agents
World health
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Multidisciplinary approach
Tuberculosis, Multidrug-Resistant
medicine
Humans
Interdisciplinary communication
030212 general & internal medicine
Disease Notification
ComputingMilieux_MISCELLANEOUS
Retrospective Studies
Treatment regimen
business.industry
medicine.disease
[SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology
3. Good health
Infectious Diseases
chemistry
Family medicine
Female
Interdisciplinary Communication
France
Bedaquiline
Delamanid
business
medicine.drug
Subjects
Details
- ISSN :
- 18157920 and 10273719
- Volume :
- 23
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
- Accession number :
- edsair.doi.dedup.....e8c9f2994a62790e0718d55ee1004a0d