Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/47478
Título: Team approach to manage difficult-to-treat TB cases: Experiences in Europe and beyond
Autores/as: 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.
Clasificación UNESCO: 32 Ciencias médicas
320508 Enfermedades pulmonares
Palabras clave: MDR-TB
XDR-TB
Clinical management
Drug resistance
Prevention, et al.
Fecha de publicación: 2018
Publicación seriada: Pulmonology 
Resumen: 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.
URI: http://hdl.handle.net/10553/47478
ISSN: 2531-0429
DOI: 10.1016/j.rppnen.2017.10.005
Fuente: Pulmonology[ISSN 2531-0429],v. 24(2), p. 132-141
Colección:Comentario
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