Open AccessTB management in the European Union/European Economic Area: a multi‐centre survey
Author(s) -
Giovanni Sotgiu,
Senia Rosales-Klintz,
Rosella Centis,
Lia D’Ambrosio,
Remi Verduin,
A M Correia,
Andra Cīrule,
Raquel Duarte,
Blagovesta Gadzheva,
Gina Gualano,
Heinke Kunst,
Fabrizio Palmieri,
Vija Riekstiņa,
D. Stefanova,
Simon Tiberi,
Marieke J. van der Werf,
G. B. Migliori
Publication year - 2021
Publication title -
the international journal of tuberculosis and lung disease/the international journal of tuberculosis and lung disease. articles traduits en français ...
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.103
H-Index - 110
eISSN - 1815-7920
pISSN - 1027-3719
DOI - 10.5588/ijtld.20.0849
Subject(s) - medicine , european union , audit , tuberculosis , european region , environmental health , family medicine , accounting , pathology , regional science , business , economic policy , geography
SUMMARY BACKGROUND: Essential TB care in the European Union/European Economic Area (EU/EEA) comprises 21 standards for the diagnosis, treatment and prevention of TB that constitute the European Union Standards for Tuberculosis Care (ESTC). METHODS: In 2017, we conducted an audit on TB management and infection control measures against the ESTC standards. TB reference centres in five EU/EEA countries were purposely selected to represent the heterogeneous European TB burden and examine geographic variability. RESULTS: Data from 122 patients, diagnosed between 2012 and 2015 with multidrug-resistant TB ( n = 49), extensively drug-resistant TB (XDR-TB) ( n = 11), pre-XDR-TB ( n = 29) and drug-susceptible TB ( n = 33), showed that TB diagnosis and treatment practices were in general in agreement with the ESTC. CONCLUSION: Overall, TB management and infection control practices were in agreement with the ESTC in the selected EU/EEA reference centres. Areas for improvement include strengthening of integrated care services and further implementation of patient-centred approaches.