TB 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,
Ana Margarida Correia,
Andra Cīrule,
Raquel Duarte,
B. Gadzheva,
Gina Gualano,
Heinke Kunst,
Fabrizio Palmieri,
Vija Riekstiņa,
D. Stefanova,
Simon Tiberi,
Marieke J. van der Werf,
Giovanni Battista Migliori
Publication year - 2021
Publication title -
the international journal of tuberculosis and lung disease
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) - european union , audit , medicine , tuberculosis , environmental health , business , accounting , pathology , economic policy
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.
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