Management of emerging multidrug-resistant tuberculosis in a low-prevalence setting
Résumé
Multidrug-resistant (MDR) tuberculosis (TB) is an emerging concern in communities with a low TB prevalence and a high standard of public health. Twenty-three consecutive adult MDR TB patients who were treated at our institution between 2007 and 2013 were reviewed for demographic characteristics and anti-TB treatment management, which included surgical procedures and long-term patient follow-up. This report of our experience emphasizes the need for an individualized approach as MDR TB brings mycobacterial disease management to a higher level of expertise, and for a balance to be found between international current guidelines and patient-tailored treatment strategies.
Mots clés
Adult
Antitubercular Agents
Bedaquiline
Case Management
Communicable Diseases
Emerging
Female
Humans
Male
MDR TB surgery
multidrug-resistant tuberculosis
Mycobacterium tuberculosis
negative-pressure ventilation room
Precision Medicine
Prevalence
Retrospective Studies
Surgical Procedures
Operative
Tuberculosis
Multidrug-Resistant