Guidelines for the programmatic management of drug-resistant tuberculosis : [emergency update 2008] / 6
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[Steering Group, Ernesto Jaramillo ... et al.]
- Emergency update.
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- xxi, 247 p. 24 cm.
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WHO/HTM/TB/2008.402.
Includes bibliographical references and index.
Background information on DR-TB -- Framework for effective control of DR-TB -- Political commitment and coordination -- Definitions : case registration, bacteriology and treatment outcomes -- Case-finding strategies -- Laboratory aspects -- Treatment strategies for MDR-TB and XDR-TB -- Mono-resistant and poly-resistant strains -- Treatment of DR-TB in special conditions and situations -- DR-TB and HIV infection -- Initial evaluation, monitoring of treatment and management of adverse effects -- Treatment delivery and community-based DR-TB support -- Management of patients after MDR-TB treatment failure -- Management of contacts of MDR-TB patients -- Drug resistance and infection control -- Human resources : training and staffing -- Management of second-line antituberulosis drugs -- Category IV recording and reporting system -- Managing DR-TB through patient-centred care.
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The emergence of extensively drug-resistant strains of tuberculosis, especially in countries with a high prevalence of human immunodeficiency virus, is a serious threat to global public health and jeopardizes efforts to effectively control the disease. This publication offers updated recommendations for the diagnosis and management of drug-resistant tuberculosis in a variety of geographical, economic and social settings, and the recording of data that enables the monitoring and evaluation of programs.--Publisher's description.