Brazilian Thoracic Association recommendations for the management of post-tuberculosis lung disease

ABSTRACT Historically, all efforts against tuberculosis were focused on rapid diagnosis and effective treatment to break the chain of transmission of Mycobacterium tuberculosis. However, in the last few years, more and more evidence has been found on the dramatic consequences of the condition define...

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Main Authors: Denise Rossato Silva, Ana Paula Santos, Dina Visca, Sidney Bombarda, Margareth Maria Pretti Dalcolmo, Tatiana Galvão, Silvana Spíndola de Miranda, Ana Alice Amaral Ibiapina Parente, Marcelo Fouad Rabahi, Roberta Karla Barbosa de Sales, Giovanni Battista Migliori, Fernanda Carvalho de Queiroz Mello
Format: Article
Language:English
Published: Sociedade Brasileira de Pneumologia e Tisiologia 2024-01-01
Series:Jornal Brasileiro de Pneumologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132023000600400&tlng=en
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author Denise Rossato Silva
Ana Paula Santos
Dina Visca
Sidney Bombarda
Margareth Maria Pretti Dalcolmo
Tatiana Galvão
Silvana Spíndola de Miranda
Ana Alice Amaral Ibiapina Parente
Marcelo Fouad Rabahi
Roberta Karla Barbosa de Sales
Giovanni Battista Migliori
Fernanda Carvalho de Queiroz Mello
author_facet Denise Rossato Silva
Ana Paula Santos
Dina Visca
Sidney Bombarda
Margareth Maria Pretti Dalcolmo
Tatiana Galvão
Silvana Spíndola de Miranda
Ana Alice Amaral Ibiapina Parente
Marcelo Fouad Rabahi
Roberta Karla Barbosa de Sales
Giovanni Battista Migliori
Fernanda Carvalho de Queiroz Mello
author_sort Denise Rossato Silva
collection DOAJ
description ABSTRACT Historically, all efforts against tuberculosis were focused on rapid diagnosis and effective treatment to break the chain of transmission of Mycobacterium tuberculosis. However, in the last few years, more and more evidence has been found on the dramatic consequences of the condition defined as post-tuberculosis lung disease (PTLD). Approximately one third of patients surviving pulmonary tuberculosis face considerable ongoing morbidities, including respiratory impairment, psychosocial challenges, and reduced health-related quality of life after treatment completion. Given the important global and local burden of tuberculosis, as well as the estimated burden of PTLD, the development of a consensus document by a Brazilian scientific society-Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)-was considered urgent for the prevention and management of this condition in order to allocate resources to and within tuberculosis services appropriately and serve as a guide for health care professionals. A team of eleven pulmonologists and one methodologist was created by the SBPT to review the current evidence on PTLD and develop recommendations adapted to the Brazilian context. The expert panel selected the topics on the basis of current evidence and international guidelines. During the first phase, three panel members drafted the recommendations, which were divided into three sections: definition and prevalence of PTLD, assessment of PTLD, and management of PTLD. In the second phase, all panel members reviewed, discussed, and revised the recommendations until a consensus was reached. The document was formally approved by the SBPT in a special session organized during the 2023 SBPT Annual Conference.
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spelling doaj.art-15b902c1f4d24388b0bf24eccaee83dd2024-01-09T07:37:11ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-37562024-01-0149610.36416/1806-3756/e20230269Brazilian Thoracic Association recommendations for the management of post-tuberculosis lung diseaseDenise Rossato Silvahttps://orcid.org/0000-0003-0230-2734Ana Paula Santoshttps://orcid.org/0000-0001-5226-4372Dina Viscahttps://orcid.org/0000-0003-2298-1623Sidney Bombardahttps://orcid.org/0000-0003-1974-8679Margareth Maria Pretti Dalcolmohttps://orcid.org/0000-0002-6820-1082Tatiana Galvãohttps://orcid.org/0000-0002-3038-7715Silvana Spíndola de Mirandahttps://orcid.org/0000-0001-7245-4472Ana Alice Amaral Ibiapina Parentehttps://orcid.org/0000-0003-1349-7311Marcelo Fouad Rabahihttps://orcid.org/0000-0002-4050-5906Roberta Karla Barbosa de Saleshttps://orcid.org/0000-0003-3074-445XGiovanni Battista Migliorihttps://orcid.org/0000-0002-2597-574XFernanda Carvalho de Queiroz Mellohttps://orcid.org/0000-0003-3250-6738ABSTRACT Historically, all efforts against tuberculosis were focused on rapid diagnosis and effective treatment to break the chain of transmission of Mycobacterium tuberculosis. However, in the last few years, more and more evidence has been found on the dramatic consequences of the condition defined as post-tuberculosis lung disease (PTLD). Approximately one third of patients surviving pulmonary tuberculosis face considerable ongoing morbidities, including respiratory impairment, psychosocial challenges, and reduced health-related quality of life after treatment completion. Given the important global and local burden of tuberculosis, as well as the estimated burden of PTLD, the development of a consensus document by a Brazilian scientific society-Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)-was considered urgent for the prevention and management of this condition in order to allocate resources to and within tuberculosis services appropriately and serve as a guide for health care professionals. A team of eleven pulmonologists and one methodologist was created by the SBPT to review the current evidence on PTLD and develop recommendations adapted to the Brazilian context. The expert panel selected the topics on the basis of current evidence and international guidelines. During the first phase, three panel members drafted the recommendations, which were divided into three sections: definition and prevalence of PTLD, assessment of PTLD, and management of PTLD. In the second phase, all panel members reviewed, discussed, and revised the recommendations until a consensus was reached. The document was formally approved by the SBPT in a special session organized during the 2023 SBPT Annual Conference.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132023000600400&tlng=enTuberculosisPost-infectious disordersDisease management
spellingShingle Denise Rossato Silva
Ana Paula Santos
Dina Visca
Sidney Bombarda
Margareth Maria Pretti Dalcolmo
Tatiana Galvão
Silvana Spíndola de Miranda
Ana Alice Amaral Ibiapina Parente
Marcelo Fouad Rabahi
Roberta Karla Barbosa de Sales
Giovanni Battista Migliori
Fernanda Carvalho de Queiroz Mello
Brazilian Thoracic Association recommendations for the management of post-tuberculosis lung disease
Jornal Brasileiro de Pneumologia
Tuberculosis
Post-infectious disorders
Disease management
title Brazilian Thoracic Association recommendations for the management of post-tuberculosis lung disease
title_full Brazilian Thoracic Association recommendations for the management of post-tuberculosis lung disease
title_fullStr Brazilian Thoracic Association recommendations for the management of post-tuberculosis lung disease
title_full_unstemmed Brazilian Thoracic Association recommendations for the management of post-tuberculosis lung disease
title_short Brazilian Thoracic Association recommendations for the management of post-tuberculosis lung disease
title_sort brazilian thoracic association recommendations for the management of post tuberculosis lung disease
topic Tuberculosis
Post-infectious disorders
Disease management
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132023000600400&tlng=en
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