MDR/XDR-TB management of patients and contacts: Challenges facing the new decade. The 2020 clinical update by the Global Tuberculosis Network

•Updated clinical guidance on MDR-TB is needed.•Several new MDR-TB diagnostics have been recently approved by WHO to complement existing tools.•To design a regimen, 4–5 active drugs are needed with a treatment duration up to 24 months.•Post-treatment sequelae might require pulmonary rehabilitation.•...

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Veröffentlicht in:International journal of infectious diseases Jg. 92; S. S15 - S25
Hauptverfasser: Migliori, Giovanni Battista, Tiberi, Simon, Zumla, Alimuddin, Petersen, Eskild, Chakaya, Jeremiah Muhwa, Wejse, Christian, Muñoz Torrico, Marcela, Duarte, Raquel, Alffenaar, Jan Willem, Schaaf, H. Simon, Marais, Ben J., Cirillo, Daniela Maria, Alagna, Riccardo, Rendon, Adrian, Pontali, Emanuele, Piubello, Alberto, Figueroa, José, Ferlazzo, Gabriella, García-Basteiro, Alberto, Centis, Rosella, Visca, Dina, D’Ambrosio, Lia, Sotgiu, Giovanni, Arkub, T. Abu, Akkerman, O.W., Aleksa, A., Belilovski, E., Bernal, E., Blanc, F-X., Boeree, M., Borisov, S., Bruchfeld, J., Cadiñanos Loidi, J., Caminero, J.A., Carvalho, A.C., Cebrian Gallardo, J.J., Charalampos, Danila, E., Davies Forsman, L., Denholm, J., Dheda, K., Diel, R., Diktanas, S., Dobler, C., Enwerem, M., Esposito, S., Escobar Salinas, N., Filippov, A., Formenti, B., García García, J.M., Goletti, D., Gomez Rosso, R., Gualano, G., Isaakidis, P., Kaluzhenina, A., Koirala, S., Kuksa, L., Kunst, H., Li, Y., Magis-Escurra, C., Manfrin, V., Manga, S., Manika, K., Marchese, V., Martínez Robles, E., Maryandyshev, A., Matteelli, A., Mariani, A., Mazza-Stalder, J., Mello, F., Mendoza, L., Mesi, A., Miliauskas, S., Mustafa Hamdan, H., Ndjeka, N., Nieto Marcos, M., Ottenhoff, T.H.M., Palmero, D.J., Palmieri, F., Papavasileiou, A., Payen, M.C., Pontarelli, A., Pretti Dalcolmo, M., Quirós Fernandez, S., Romero, R., Rossato Silva, D., Santos, A.P., Seaworth, B., Sinitsyn, M., Skrahina, A., Solovic, I., Spanevello, A., Tadolini, M., Torres, C., Udwadia, Z., van den Boom, M., Volchenkov, G.V., Yedilbayev, A., Zaleskis, R., Zellweger, J.P.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Canada Elsevier Ltd 01.03.2020
Elsevier
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ISSN:1201-9712, 1878-3511, 1878-3511
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Abstract •Updated clinical guidance on MDR-TB is needed.•Several new MDR-TB diagnostics have been recently approved by WHO to complement existing tools.•To design a regimen, 4–5 active drugs are needed with a treatment duration up to 24 months.•Post-treatment sequelae might require pulmonary rehabilitation.•LTBI management and infection control are core elements of the MDR-TB public health approach. 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.
AbstractList 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. Keywords: MDR-TB, XDR-TB, Diagnosis, Treatment, Prevention, Rehabilitation of sequelae
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.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.
•Updated clinical guidance on MDR-TB is needed.•Several new MDR-TB diagnostics have been recently approved by WHO to complement existing tools.•To design a regimen, 4–5 active drugs are needed with a treatment duration up to 24 months.•Post-treatment sequelae might require pulmonary rehabilitation.•LTBI management and infection control are core elements of the MDR-TB public health approach. 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.
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.
Author Rendon, Adrian
Diel, R.
Li, Y.
Manika, K.
Nieto Marcos, M.
Belilovski, E.
Mustafa Hamdan, H.
Martínez Robles, E.
Ndjeka, N.
Tiberi, Simon
Payen, M.C.
Boeree, M.
Torres, C.
Zaleskis, R.
Wejse, Christian
Filippov, A.
D’Ambrosio, Lia
Mazza-Stalder, J.
Gomez Rosso, R.
Manfrin, V.
Mesi, A.
Matteelli, A.
Alagna, Riccardo
Caminero, J.A.
Isaakidis, P.
van den Boom, M.
Pontali, Emanuele
Davies Forsman, L.
Manga, S.
Palmero, D.J.
Chakaya, Jeremiah Muhwa
Formenti, B.
Skrahina, A.
Gualano, G.
Migliori, Giovanni Battista
García-Basteiro, Alberto
Spanevello, A.
Mariani, A.
Akkerman, O.W.
Piubello, Alberto
Dobler, C.
Danila, E.
Kuksa, L.
Magis-Escurra, C.
Santos, A.P.
Marais, Ben J.
Sinitsyn, M.
Udwadia, Z.
Borisov, S.
Ferlazzo, Gabriella
Arkub, T. Abu
Carvalho, A.C.
Centis, Rosella
Pontarelli, A.
Aleksa, A.
Seaworth, B.
Denholm, J.
Tadolini, M.
Sotgiu, Giovanni
Duarte, Raquel
Figueroa, José
Visca, Dina
Rossato Silva, D.
Enwerem, M.
Muñoz Torrico, Marcela
Palmieri, F.
Ottenhoff, T.H.M.
Cirillo, Daniela Maria
Maryandyshev, A.
Kaluzhenina, A.
Cebrian Gallardo, J.J.
Bruchf
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  organization: The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia
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  surname: Zellweger
  fullname: Zellweger, J.P.
  organization: Switzerland
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32032752$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Contributor Kuksa, L
Romero, R
Isaakidis, P
García García, J M
Seaworth, B
Blanc, F-X
Martínez Robles, E
Miliauskas, S
Volchenkov, G V
Arkub, T Abu
Mustafa Hamdan, H
Escobar Salinas, N
Formenti, B
Solovic, I
Danila, E
Manika, K
Mendoza, L
Cadiñanos Loidi, J
Mazza-Stalder, J
Palmero, D J
Diktanas, S
Caminero, J A
Magis-Escurra, C
Pretti Dalcolmo, M
Quirós Fernandez, S
Borisov, S
Mello, F
Nieto Marcos, M
Koirala, S
Sinitsyn, M
van den Boom, M
Skrahina, A
Tadolini, M
Cebrian Gallardo, J J
Palmieri, F
Dheda, K
Diel, R
Rossato Silva, D
Kaluzhenina, A
Maryandyshev, A
Papavasileiou, A
Bruchfeld, J
Manga, S
Torres, C
Charalampos
Spanevello, A
Manfrin, V
Santos, A P
Denholm, J
Ottenhoff, T H M
Carvalho, A C
Yedilbayev, A
Davies Forsman, L
Akkerman, O W
Ndjeka, N
Kunst, H
Matteelli, A
Mariani, A
Mesi, A
Aleksa, A
Esposito, S
Gomez Rosso, R
Zellweger, J P
Enwerem, M
Pontarelli, A
Filippov, A
Dobler, C
Goletti, D
Zaleskis, R
Gualano, G
Li, Y
Bernal, E
Belilovski, E
Udwadia, Z
Boeree, M
Marchese, V
Payen, M C
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Copyright 2020 The Authors
Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.
Copyright_xml – notice: 2020 The Authors
– notice: Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.
CorporateAuthor the members of the Global Tuberculosis Network
members of the Global Tuberculosis Network
CorporateAuthor_xml – name: the members of the Global Tuberculosis Network
– name: members of the Global Tuberculosis Network
DBID 6I.
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CITATION
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Keywords Prevention
MDR-TB
Treatment
XDR-TB
Diagnosis
Rehabilitation of sequelae
Language English
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Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.
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Snippet •Updated clinical guidance on MDR-TB is needed.•Several new MDR-TB diagnostics have been recently approved by WHO to complement existing tools.•To design a...
The continuous flow of new research articles on MDR-TB diagnosis, treatment, prevention and rehabilitation requires frequent update of existing guidelines....
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SubjectTerms Diagnosis
MDR-TB
Prevention
Rehabilitation of sequelae
Treatment
XDR-TB
Title MDR/XDR-TB management of patients and contacts: Challenges facing the new decade. The 2020 clinical update by the Global Tuberculosis Network
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