Publication

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

Migliori, G. B., Tiberi, S., Zumla, A., Petersen, E., Chakaya, J. M., Wejse, C., Torrico, M. M., Duarte, R., Alffenaar, J. W., Schaaf, H. S., Marais, B. J., Cirillo, D. M., Alagna, R., Rendon, A., Pontali, E., Piubello, A., Figueroa, J., Ferlazzo, G., Garcia-Basteiro, A., Centis, R., Visca, D., D'Ambrosio, L. & Sotgiu, G., Mar-2020, In : International Journal of Infectious Diseases. 92, p. S15-S25 11 p.

Research output: Contribution to journalArticleAcademicpeer-review

  • Giovanni Battista Migliori
  • Simon Tiberi
  • Alimuddin Zumla
  • Eskild Petersen
  • Jeremiah Muhwa Chakaya
  • Christian Wejse
  • Marcela Munoz Torrico
  • Raquel Duarte
  • Jan Willem Alffenaar
  • H. Simon Schaaf
  • Ben J. Marais
  • Daniela Maria Cirillo
  • Riccardo Alagna
  • Adrian Rendon
  • Emanuele Pontali
  • Alberto Piubello
  • Jose Figueroa
  • Gabriella Ferlazzo
  • Alberto Garcia-Basteiro
  • Rosella Centis
  • Dina Visca
  • Lia D'Ambrosio
  • Giovanni Sotgiu

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
Publication statusPublished - Mar-2020

    Keywords

  • MDR-TB, XDR-TB, Diagnosis, Treatment, Prevention, Rehabilitation of sequelae, MULTIDRUG-RESISTANT TUBERCULOSIS, LATENT TUBERCULOSIS, CHILD CONTACTS, TRANSMISSION, PYRAZINAMIDE, REGIMENS, SAFETY, IMIPENEM/CLAVULANATE, PROPHYLAXIS

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ID: 133420204