TB management in the European Union/European Economic Area: a multi‐centre survey-Reference-Cited by-同舟云学术

TB management in the European Union/European Economic Area: a multi‐centre survey

Published:2021-02-01 Issue:2 Volume:25 Page:126-133
ISSN:1027-3719
Container-title:The International Journal of Tuberculosis and Lung Disease
language:en
Short-container-title:int j tuberc lung dis

Author:

Sotgiu G.¹,Rosales-Klintz S.²,Centis R.³,D'Ambrosio L.⁴,Verduin R.⁵,Correia A. M.⁶,Cirule A.⁷,Duarte R.⁸,Gadzheva B.⁹,Gualano G.¹⁰,Kunst H.¹¹,Palmieri F.¹⁰,Riekstina V.⁷,Stefanova D.¹²,Tiberi S.¹³,van der Werf M. J.²,Migliori G. B.³

Affiliation:

1. Clinical Epidemiology and Medical Statistics Unit, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy

2. European Centre for Disease Prevention and Control, Stockholm, Sweden

3. Servizio di Epidemiologia Clinica delle Malattie Respiratorie, Istituti Clinici Scientifici Maugeri, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Tradate, Italy

4. Public Health Consulting Group, Lugano, Switzerland

5. Verduin Public Health Consult, Oegstgeest, the Netherlands

6. Regional Health Administration of the North, Department of Public Health, Porto, Portugal

7. Centre of TB and Lung Diseases, Riga East University Hospital, Riga, Latvia

8. National Reference Centre for MDR-TB, Hospital Centre Vila Nova de Gaia, Department of Pneumology; Public Health Science and Medical Education Department, Faculty of Medicine, University of Porto, Porto, Portugal

9. The Global Fund to fight AIDS, Tuberculosis and Malaria (GFATM) Programme, Department of Management of Specialized Donor-Funded Programmes, Ministry of Health, Sofia, Bulgaria

10. Respiratory Infectious Diseases Unit, L Spallanzani National Institute for Infectious Diseases, IRCCS, Rome, Italy

11. Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University, London, UK

12. St Sofia University Hospital for Active Treatment of Respiratory Diseases, Sofia, Bulgaria

13. Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University, London, UK, Division of Infection, Royal London Hospital, Barts Health NHS Trust, London, UK

Abstract

BACKGROUND: Essential TB care in the European Union/European Economic Area (EU/EEA) comprises 21 standards for the diagnosis, treatment and prevention of TB that constitute the European Union Standards for Tuberculosis Care (ESTC).METHODS: In 2017, we conducted an audit on TB management and infection control measures against the ESTC standards. TB reference centres in five EU/EEA countries were purposely selected to represent the heterogeneous European TB burden and examine geographic variability.RESULTS: Data from 122 patients, diagnosed between 2012 and 2015 with multidrug-resistant TB (n = 49), extensively drug‐resistant TB (XDR‐TB) (n = 11), pre‐XDR‐TB (n = 29) and drug‐susceptible TB (n = 33), showed that TB diagnosis and treatment practices were in general in agreement with the ESTC.CONCLUSION: Overall, TB management and infection control practices were in agreement with the ESTC in the selected EU/EEA reference centres. Areas for improvement include strengthening of integrated care services and further implementation of patient‐centred approaches.

Publisher

International Union Against Tuberculosis and Lung Disease

Subject

Infectious Diseases,Pulmonary and Respiratory Medicine

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