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MDR/XDR-TB Management of Patients and Contacts: Challenges Facing the New Decade. The 2020 Clinical Update by the Global Tuberculosis Network

  • Global Tuberculosis Network
  • , Giovanni Battista Migliori*
  • , Simon Tiberi
  • , Alimuddin Zumla
  • , Eskild Petersen
  • , Jeremiah Muhwa Chakaya
  • , Christian Wejse
  • , Marcela Muñoz Torrico
  • , Raquel Duarte
  • , Jan Willem Alffenaar
  • , H. Simon Schaaf
  • , Ben J. Marais
  • , Daniela Maria Cirillo
  • , Riccardo Alagna
  • , Adrian Rendon
  • , Emanuele Pontali
  • , Alberto Piubello
  • , José Figueroa
  • , Gabriella Ferlazzo
  • , Alberto García-Basteiro
  • Rosella Centis, Dina Visca, Lia D'Ambrosio, Giovanni Sotgiu
*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

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Abstract

The continuous flow of new research articles on MDR-TB diagnosis, treatment, prevention and rehabilitation requires frequent update of existing guidelines. This review is aimed at providing clinicians and public health staff with an updated and easy-to-consult document arising from consensus of Global Tuberculosis Network (GTN) experts. The core published documents and guidelines have been reviewed, including the recently published MDR-TB WHO rapid advice and ATS/CDC/ERS/IDSA guidelines. After a rapid review of epidemiology and risk factors, the clinical priorities on MDR-TB diagnosis (including whole genome sequencing and drug-susceptibility testing interpretations) and treatment (treatment design and management, TB in children) are discussed. Furthermore, the review comprehensively describes the latest information on contact tracing and LTBI management in MDR-TB contacts, while providing guidance on post-treatment functional evaluation and rehabilitation of TB sequelae, infection control and other public health priorities.

Original languageEnglish
Pages (from-to)S15-S25
Number of pages11
JournalInternational Journal of Infectious Diseases
Volume92
Early online date4 Feb 2020
DOIs
Publication statusPublished - Mar 2020

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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