Recent developments in the diagnosis and management of tuberculosis.
Giorgia SulisRosella CentisGiovanni SotgiuLia D'AmbrosioEmanuele PontaliAntonio SpanevelloAlberto MatteelliAlimuddin ZumlaGiovanni Battista MiglioriPublished in: NPJ primary care respiratory medicine (2016)
Tuberculosis (TB) is a major public health issue worldwide, with ~9.6 million new incident cases and 1.5 million deaths in 2014. The End-TB Strategy launched by the World Health Organization in the context of the post-2015 agenda aims to markedly abate the scourge of TB towards global elimination, by improving current diagnostic and therapeutic practices, promoting preventative interventions, stimulating government commitment and increased financing, and intensifying research and innovation. The emergence and spread of multidrug-resistant strains is currently among the greatest concerns, which may hinder the achievement of future goals. It is crucial that primary healthcare providers are sufficiently familiar with the basic principles of TB diagnosis and care, to ensure early case detection and prompt referral to specialised centres for treatment initiation and follow-up. Given their special relationship with patients, they are in the best position to promote educational interventions and identify at-risk individuals as well as to improve adherence to treatment.
Keyphrases
- mycobacterium tuberculosis
- healthcare
- public health
- multidrug resistant
- primary care
- end stage renal disease
- pulmonary tuberculosis
- physical activity
- chronic kidney disease
- ejection fraction
- escherichia coli
- cardiovascular disease
- global health
- emergency department
- hiv aids
- type diabetes
- adipose tissue
- skeletal muscle
- chronic pain
- current status
- replacement therapy
- social media
- weight loss
- pseudomonas aeruginosa
- hepatitis c virus
- drug induced
- patient reported
- sensitive detection
- smoking cessation
- hiv infected
- cystic fibrosis
- klebsiella pneumoniae
- antiretroviral therapy