A centralised electronic Multidrug-Resistant Tuberculosis Advisory Service: the first 2 years

The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
T S JordanP D O Davies

Abstract

Multidrug-resistant tuberculosis (MDR-TB, defined as resistance to at least both rifampicin and isoniazid) has become a serious problem in the United Kingdom. As it is uncommon, no one clinician has sufficient experience of it to be confident in providing the best management for the patient. The model of a centralised system of management, such as is used in the Baltic countries, would seem a suitable method to adapt to the United Kingdom. With the agreement of the relevant professional organisations, a virtual electronic expert panel, the UK Multidrug-Resistant Tuberculosis Service, has been developed. This body gives advice via a secure website on MDR-TB patients referred by e-mail by clinicians across the country managing MDR-TB cases. In the first 2 years of operation, advice was sought on 60 patients with culture-proven MDR-TB (54% of the UK total). The number of clinicians accessing the advisory service increased from 27 in 2008 to 33 in 2009. Patients of non-UK origin accounted for 90% of all cases, including all four extensively drug-resistant tuberculosis cases. A central electronic virtual committee providing advice via a secure website has proved to be practical, economical and efficient. It could provide a model for...Continue Reading

Citations

Nov 23, 2013·European Journal of Microbiology & Immunology·C GiehlM Sester
May 17, 2019·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Jaqueline Garcia de Almeida BallesteroPedro Fredemir Palha
Aug 29, 2019·Frontiers in Public Health·G Khai Lin HuangSuman S Majumdar

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antitubercular Agents (ASM)

Antitubercular agents are pharmacologic agents for treatment of tuberculosis. Discover the latest research on antitubercular agents here.

Antitubercular Agents

Antitubercular agents are pharmacologic agents for treatment of tuberculosis. Discover the latest research on antitubercular agents here.

Related Papers

The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
N LomtadzeA Salakaia
The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
A NodievaV Baumanis
International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases
Nino MdivaniH M Blumberg
Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
Hye-Ryoun KimJae-Joon Yim
© 2021 Meta ULC. All rights reserved