Details

Autor(en) / Beteiligte

• 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

Titel

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

Ist Teil von

• Pulmonology, 2018-03, Vol.24 (2), p.132-141

Ort / Verlag

Spain: Elsevier

Erscheinungsjahr

2018

Link zum Volltext

Quelle

EZB Free E-Journals

Beschreibungen/Notizen

• 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.