De-isolation of patients with pulmonary tuberculosis after start of treatment — clear, unequivocal guidelines are missing
The study review guidelines on isolation of patients with tuberculosis, TB, from the World Health Organization, WHO, Centers for Disease Control and Prevention, CDC, and the European Center for Disease Control, ECDC. The review found that unequivocal guidelines for removing patients out of negative-...
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| Format: | Article |
| Language: | English |
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Elsevier
2017-03-01
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| Series: | International Journal of Infectious Diseases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1201971217300322 |
| _version_ | 1828807218091261952 |
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| author | Eskild Petersen Faryal Khamis Giovanni Battista Migliori Julie Glerup Bay Ben Marais Christian Wejse Alimuddin Zumla |
| author_facet | Eskild Petersen Faryal Khamis Giovanni Battista Migliori Julie Glerup Bay Ben Marais Christian Wejse Alimuddin Zumla |
| author_sort | Eskild Petersen |
| collection | DOAJ |
| description | The study review guidelines on isolation of patients with tuberculosis, TB, from the World Health Organization, WHO, Centers for Disease Control and Prevention, CDC, and the European Center for Disease Control, ECDC. The review found that unequivocal guidelines for removing patients out of negative-pressure isolation and de-isolation patients from either single rooms or isolation at home is needed. Studies show that the time of effective treatment is the key parameter to follow to determine if patients are contagious to others or not. This means that standard treatment of multi-drug resistant, MDR, TB will not result in the patient being non-infectious. Thus it is important right from the time of diagnosis to know if the patient is infected with MDR TB or not. Thus the early use of molecular techniques to reveal drug susceptibility is important. Clear guidelines stating if patient with microscopy negative sputum no matter infected with fully susceptible or MDR TB, no matter HIV positive or not is needed. |
| first_indexed | 2024-12-12T08:22:25Z |
| format | Article |
| id | doaj.art-e0f6b766c32a45428057a14e3b1b9d29 |
| institution | Directory Open Access Journal |
| issn | 1201-9712 1878-3511 |
| language | English |
| last_indexed | 2024-12-12T08:22:25Z |
| publishDate | 2017-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Infectious Diseases |
| spelling | doaj.art-e0f6b766c32a45428057a14e3b1b9d292022-12-22T00:31:22ZengElsevierInternational Journal of Infectious Diseases1201-97121878-35112017-03-0156C343810.1016/j.ijid.2017.01.029De-isolation of patients with pulmonary tuberculosis after start of treatment — clear, unequivocal guidelines are missingEskild Petersen0Faryal Khamis1Giovanni Battista Migliori2Julie Glerup Bay3Ben Marais4Christian Wejse5Alimuddin Zumla6Institute of Clinical Medicine, University of Aarhus, DenmarkDepartment of Infectious Diseases, The Royal Hospital, Muscat, OmanWHO Collaborating Centre for TB and Lung Diseases, Maugeri Care and Research Institute Tradate, ItalyDepartment of Infectious Diseases, Aarhus University Hospital, DenmarkThe Children’s Hospital at Westmead and Centre for Research Excellence in Tuberculosis (TB-CRE), Marie Bashir Institute for Infectious Diseases and Biosecurity (MBI), University of Sydney, AustraliaDepartment of Infectious Diseases, Aarhus University Hospital, DenmarkCenter for Clinical Microbiology, Division of Infection and Immunity, University College London, and the National Institute of Health Research Biomedical Research Centre at UCLHospitals, London, United KingdomThe study review guidelines on isolation of patients with tuberculosis, TB, from the World Health Organization, WHO, Centers for Disease Control and Prevention, CDC, and the European Center for Disease Control, ECDC. The review found that unequivocal guidelines for removing patients out of negative-pressure isolation and de-isolation patients from either single rooms or isolation at home is needed. Studies show that the time of effective treatment is the key parameter to follow to determine if patients are contagious to others or not. This means that standard treatment of multi-drug resistant, MDR, TB will not result in the patient being non-infectious. Thus it is important right from the time of diagnosis to know if the patient is infected with MDR TB or not. Thus the early use of molecular techniques to reveal drug susceptibility is important. Clear guidelines stating if patient with microscopy negative sputum no matter infected with fully susceptible or MDR TB, no matter HIV positive or not is needed.http://www.sciencedirect.com/science/article/pii/S1201971217300322TuberculosisIsolationDe-isolationMolecular diagnosis |
| spellingShingle | Eskild Petersen Faryal Khamis Giovanni Battista Migliori Julie Glerup Bay Ben Marais Christian Wejse Alimuddin Zumla De-isolation of patients with pulmonary tuberculosis after start of treatment — clear, unequivocal guidelines are missing International Journal of Infectious Diseases Tuberculosis Isolation De-isolation Molecular diagnosis |
| title | De-isolation of patients with pulmonary tuberculosis after start of treatment — clear, unequivocal guidelines are missing |
| title_full | De-isolation of patients with pulmonary tuberculosis after start of treatment — clear, unequivocal guidelines are missing |
| title_fullStr | De-isolation of patients with pulmonary tuberculosis after start of treatment — clear, unequivocal guidelines are missing |
| title_full_unstemmed | De-isolation of patients with pulmonary tuberculosis after start of treatment — clear, unequivocal guidelines are missing |
| title_short | De-isolation of patients with pulmonary tuberculosis after start of treatment — clear, unequivocal guidelines are missing |
| title_sort | de isolation of patients with pulmonary tuberculosis after start of treatment clear unequivocal guidelines are missing |
| topic | Tuberculosis Isolation De-isolation Molecular diagnosis |
| url | http://www.sciencedirect.com/science/article/pii/S1201971217300322 |
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