Petersen, E;
Khamis, F;
Migliori, GB;
Bay, JG;
Marais, B;
Wejse, C;
Zumla, A;
(2017)
De-isolation of patients with pulmonary tuberculosis after start of treatment - clear, unequivocal guidelines are missing.
International Journal of Infectious Diseases
, 56
pp. 34-38.
10.1016/j.ijid.2017.01.029.
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Abstract
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.
Type: | Article |
---|---|
Title: | De-isolation of patients with pulmonary tuberculosis after start of treatment - clear, unequivocal guidelines are missing |
Open access status: | An open access version is available from UCL Discovery |
DOI: | 10.1016/j.ijid.2017.01.029 |
Publisher version: | https://doi.org/10.1016/j.ijid.2017.01.029 |
Language: | English |
Additional information: | Copyright © 2017 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by- nc-nd/4.0/). |
Keywords: | Tuberculosis; Isolation; De-isolation; Molecular diagnosis |
UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Infection and Immunity |
URI: | https://discovery.ucl.ac.uk/id/eprint/1551401 |




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