Multidrug-resistant tuberculosis care in the United States

Details

• Alternative Title:
  Int J Tuberc Lung Dis
• Personal Author:
  Gobaud, A. N. ; Haley, C. A. ; Wilson, J. W. ; Bhavaraju, R. ; Lardizabal, A. ; Seaworth, B. J. ; Goswami, N. D.
• Description:
  BACKGROUND:
  
  To examine the utilization of the Tuberculosis (TB) Centers of Excellence (COE) medical consultation service and evaluate how these services were being employed for patients in relation to multidrug-resistant TB (MDR-TB).
  
  METHODS:
  
  Medical consults are documented in a secure database. The database was queried for MDR-TB consultations over the period 1 January 2013–31 December 2017. All were analyzed to assess provider type, center, setting, year of call, and type of patient (pediatric vs. adult). A subgroup was randomly selected for thematic analysis.
  
  RESULTS:
  
  The centers received 1560 MDR-TB consultation requests over this period. Providers requesting consults were primarily physicians (55%). The majority of requests were from public health departments (64%) and for adult patients (80%). Four major topic areas emerged: 1) initial management of MDR-TB, 2) MDR-TB longitudinal treatment and complications, 3) management of persons exposed to MDR-TB, and 4) MDR-TB treatment completion.
  
  CONCLUSIONS:
  
  Analysis of these consultations provides insight into the type of expert advice about MDR-TB that was provided. These findings highlight topics where increased medical training and education may help to improve MDR-TB-related practices.
  
  
• Subjects:
  Adult Antitubercular Agents Child Humans Referral And Consultation Tuberculosis Tuberculosis, Multidrug-Resistant
• Source:
  Int J Tuberc Lung Dis. 24(4):409-413
• Pubmed ID:
  32317065
• Pubmed Central ID:
  PMC9325499
• Document Type:
  Journal Article
• Funding:
  U52 PS004090/PS/NCHHSTP CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  24
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:699fa676179e990c62c62ce4f179e4d709f857419c54ca0010f085dd85e6fdc4
• Download URL:
  https://stacks.cdc.gov/view/cdc/119650/cdc_119650_DS1.pdf
• File Type:
  [PDF - 77.33 KB ]