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Clinical standards for the diagnosis, treatment and prevention of TB infection

Title: Clinical standards for the diagnosis, treatment and prevention of TB infection
Authors: Migliori, G. B.; Wu, S. J.; Matteelli, A.; Zenner, D.; Goletti, D.; Ahmedov, S.; Al Abri, S.; Allen, D. M.; Balcells Marty, María Elvira; Garcia Basteiro, A. L.; Cambau, E.; Chaisson, R. E.; Chee, C. B. E.; Dalcolmo, M. P.; Denholm, J. T.; Erkens, C.; Esposito, S.; Farnia, P.; Friedland, J. S.; Graham, S.; Hamada, Y.; Harries, A. D.; Kay, A. W.; Kritski, A.; Manga, S.; Marais, B. J.; Menzies, D.; Ng, D.; Petrone, L.; Rendon, A.; Silva, D. R.; Schaaf, H. S.; Skrahina, A.; Sotgiu, G.; Thwaites, G.; Tiberi, S.; Tukvadze, N.; Zellweger, J P; Ambrosio, L. D.; Centis, R.; Ong, C. W. M.
Publisher Information: International Union Against Tuberculosis and Lung Disease
Publication Year: 2023
Collection: Pontificia Universidad Católica de Chile: Repositorio UC
Subject Terms: Tuberculosis; TB preventive therapy; TB infection tests; Clinical standards; Medicina y salud; 03 Good Health and Well-being; 03 Salud y bienestar
Time: 610
Description: BACKGROUND: Tuberculosis (TB) preventive therapy (TPT) decreases the risk of developing TB disease and its associated morbidity and mortality. The aim of these clinical standards is to guide the assessment, management of TB infection (TBI) and implementation of TPT. METHODS: A panel of global experts in the field of TB care was identified; 41 participated in a Delphi process. A 5-point Likert scale was used to score the initial standards. After rounds of revision, the document was approved with 100% agreement. RESULTS: Eight clinical standards were defined: Standard 1, all individuals belonging to at-risk groups for TB should undergo testing for TBI; Standard 2, all individual candidates for TPT (including caregivers of children) should undergo a counselling/health education session; Standard 3, testing for TBI: timing and test of choice should be optimised; Standard 4, TB disease should be excluded prior to initiation of TPT; Standard 5, all candidates for TPT should undergo a set of baseline examinations; Standard 6, all individuals initiating TPT should receive one of the recommended regimens; Standard 7, all individuals who have started TPT should be monitored; Standard 8, a TBI screening and testing register should be kept to inform the cascade of care. CONCLUSION: This is the first consensus-based set of Clinical Standards for TBI. This document guides clinicians, programme managers and public health officers in planning and implementing adequate measures to assess and manage TBI. ; Oskar-Helene-Heim Foundation (OHH; Berlin, Germany) ; Gudnther Labes Foundation (Berlin, Germany)
Document Type: article in journal/newspaper
File Description: 17 páginas; application/pdf
Language: English
Relation: MEDLINE:35197159; SCOPUS_ID:85125215822; https://doi.org/10.5588/ijtld.21.0753; https://repositorio.uc.cl/handle/11534/75275; WOS:000762323100003
DOI: 10.5588/ijtld.21.0753
Availability: https://repositorio.uc.cl/handle/11534/75275; https://doi.org/10.5588/ijtld.21.0753
Rights: acceso abierto ; CC BY 4.0 DEED Attribution 4.0 International ; https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.76BB9932
Database: BASE