Management of emerging multidrug-resistant tuberculosis in a low-prevalence setting

被引:5
|
作者
Catho, G. [1 ,2 ]
Couraud, S. [3 ]
Grard, S. [1 ]
Bouaziz, A. [1 ]
Senechal, A. [1 ]
Valour, F. [1 ]
Perpoint, T. [1 ]
Braun, E. [1 ]
Biron, F. [1 ]
Ferry, T. [1 ,4 ]
Chidiac, C. [1 ]
Freymond, N. [3 ]
Perrot, E. [3 ]
Souquet, P. -J. [3 ]
Maury, J. -M. [5 ]
Tronc, F. [5 ]
Veziris, N. [6 ,7 ]
Lina, G. [4 ,8 ]
Dumitrescu, O. [4 ,8 ]
Ader, F. [1 ,4 ]
Boibieux, A.
Bouledrak, K.
Carret, G.
Charhon, N.
Chidiac, C. [1 ]
Chumbi-Flores, W.
Devouassoux, G.
Ernesto, S.
Floret, D.
Gardes, S.
Gerbier-Colomban, S.
Gillet, Y.
Goutelle, S.
Grando, J.
Grima, R.
Hees, L.
Karsenty, J.
Kiakouama-Maleka, L.
Lina, G. [4 ,8 ]
Metzger, M. H.
Miailhes, P.
Moreau, L.
Nesme, P.
Perrot, E. [3 ]
Peyramond, D.
Ranc, A. G.
Reix, R.
Renaud-Baron, A. S.
van Thai, H.
Valour, F. [1 ]
机构
[1] Hosp Civils Lyon, Hop Croix Rousse, Serv Malad Infect & Trop, Bron, France
[2] Hosp Civils Lyon, Hop Femme Mere Enfant, Serv Pneumol & Allergol Pediat, Bron, France
[3] Hosp Civils Lyon, Ctr Hosp Lyon Sud, Serv Pneumol & Oncol Thorac, Pierre Benite, France
[4] Univ Claude Bernard Lyon I, INSERM, U1111, CIRI, Lyon, France
[5] Hosp Civils Lyon, Hop Louis Pradel, Dept Chirurg Thorac, Bron, France
[6] Hop La Pitie Salpetriere, AP HP, Lab Bacteriol Hyg, Ctr Natl Reference Mycobacteries & Resistance Myc, Paris, France
[7] UPMC, INSERM, Ctr Immunol & Malad Infect, E13, Paris, France
[8] Hosp Civils Lyon, Ctr Hosp Lyon Sud, Lab Microbiol, Pierre Benite, France
关键词
Bedaquiline; MDR TB surgery; multidrug-resistant tuberculosis; Mycobacterium tuberculosis; negative-pressure ventilation room;
D O I
10.1016/j.cmi.2014.12.022
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Multidrug-resistant (MDR) tuberculosis (TB) is an emerging concern in communities with a low TB prevalence and a high standard of public health. Twenty-three consecutive adult MDR TB patients who were treated at our institution between 2007 and 2013 were reviewed for demographic characteristics and anti-TB treatment management, which included surgical procedures and long-term patient follow-up. This report of our experience emphasizes the need for an individualized approach as MDR TB brings mycobacterial disease management to a higher level of expertise, and for a balance to be found between international current guidelines and patient-tailored treatment strategies. Clinical Microbiology and Infection (c) 2015 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:472.e7 / 472.e10
页数:4
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