Reducing tuberculosis transmission: a consensus document from the World Health Organization Regional Office for Europe.
Giovanni Battista MiglioriEdward NardellAskar YedilbayevRosella CentisRosella CentisMarina TadoliniMartin van den BoomSoudeh EhsaniGiovanni SotgiuMasoud DaraPublished in: The European respiratory journal (2019)
Evidence-based guidance is needed on 1) how tuberculosis (TB) infectiousness evolves in response to effective treatment and 2) how the TB infection risk can be minimised to help countries to implement community-based, outpatient-based care.This document aims to 1) review the available evidence on how quickly TB infectiousness responds to effective treatment (and which factors can lower or boost infectiousness), 2) review policy options on the infectiousness of TB patients relevant to the World Health Organization European Region, 3) define limitations of the available evidence and 4) provide recommendations for further research.The consensus document aims to target all professionals dealing with TB (e.g TB specialists, pulmonologists, infectious disease specialists, primary healthcare professionals, and other clinical and public health professionals), as well as health staff working in settings where TB infection is prevalent.
Keyphrases
- mycobacterium tuberculosis
- healthcare
- end stage renal disease
- pulmonary tuberculosis
- mental health
- public health
- clinical practice
- ejection fraction
- infectious diseases
- peritoneal dialysis
- risk assessment
- hiv aids
- prognostic factors
- emergency department
- patient reported outcomes
- combination therapy
- human health
- climate change
- adverse drug