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Olaru ID, Beliz Meier M, Schumacher SG, Prodanovic N, Kitchen PJ, Mirzayev F, Denkinger CM. Co-administration of treatment for drug-resistant TB and hepatitis C. Int J Tuberc Lung Dis 2023; 27:66-68. [PMID: 36853135 PMCID: PMC9879085 DOI: 10.5588/ijtld.22.0403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Affiliation(s)
- I. D. Olaru
- Division of Infectious Disease and Tropical Medicine, Heidelberg University Hospital, Heidelberg, Germany
,Clinical Research Department, London School of Hygiene & Tropical Medicine, London, UK
| | - M. Beliz Meier
- Division of Infectious Disease and Tropical Medicine, Heidelberg University Hospital, Heidelberg, Germany
| | - S. G. Schumacher
- Global TB Programme, World Health Organization, Geneva, Switzerland
| | - N. Prodanovic
- Division of Infectious Disease and Tropical Medicine, Heidelberg University Hospital, Heidelberg, Germany
| | - P. J. Kitchen
- Division of Infectious Disease and Tropical Medicine, Heidelberg University Hospital, Heidelberg, Germany
| | - F. Mirzayev
- Global TB Programme, World Health Organization, Geneva, Switzerland
| | - C. M. Denkinger
- Division of Infectious Disease and Tropical Medicine, Heidelberg University Hospital, Heidelberg, Germany
,German Center for Infection Research (DZIF), partner site Heidelberg University Hospital, Heidelberg, Germany
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Gebreselassie N, Falzon D, Zignol M, Viney K, Ismail N, Mirzayev F, Mavhunga F, Kasaeva T. Bridging the gap: key evidence needed to strengthen global policies to end TB. Int J Tuberc Lung Dis 2022; 26:704-707. [PMID: 35898130 DOI: 10.5588/ijtld.22.0153] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- N Gebreselassie
- Global TB Programme, World Health Organization, Geneva, Switzerland
| | - D Falzon
- Global TB Programme, World Health Organization, Geneva, Switzerland
| | - M Zignol
- Global TB Programme, World Health Organization, Geneva, Switzerland
| | - K Viney
- Global TB Programme, World Health Organization, Geneva, Switzerland
| | - N Ismail
- Global TB Programme, World Health Organization, Geneva, Switzerland
| | - F Mirzayev
- Global TB Programme, World Health Organization, Geneva, Switzerland
| | - F Mavhunga
- Global TB Programme, World Health Organization, Geneva, Switzerland
| | - T Kasaeva
- Global TB Programme, World Health Organization, Geneva, Switzerland
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Elger BS, Mirzayev F, Afandiyev S, Gurbanova E. Ethical issues in tuberculosis screening and the use of new drugs for prisoners. Int J Tuberc Lung Dis 2020; 24:57-60. [DOI: 10.5588/ijtld.17.0899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
SETTING: Prisons are known to have extremely high tuberculosis (TB) and multidrug-resistant (MDR) and extensively drug-resistant (XDR) TB prevalence and poor treatment outcomes.OBJECTIVE: To examine the screening and M/XDR-TB treatment with new TB drugs in prisons
from the perspective of international ethical and legal requirements.DESIGN: WHO recommendations on TB screening in prisons and M/XDR-TB treatment as well as the international human rights law on prisoners were analysed.RESULTS: Prisoners have a human right to access
at least the same level of TB care as in their communities. Screening for TB in prisons, which may run contrary to a given individual's choice to be tested, may be justified by the positive obligation to prevent other prisoners from contracting a possibly deadly disease. Introduction of new
TB drugs in prisons is necessary, ethically sound and should start in parallel with introduction in a civilian sector in strict compliance with the WHO recommendations.CONCLUSION: Access to screening for TB, as well as effective treatment according to WHO recommendations, must be
ensured by countries on the basis of international human rights conventions.
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Affiliation(s)
- B. S. Elger
- University Center of Legal Medicine of Geneva, University of Geneva, Geneva, Switzerland
| | - F. Mirzayev
- World Health Organization, Geneva, Switzerland
| | | | - E. Gurbanova
- Ministry of Justice, Main Medical Department, Baku, Azerbaijan, Department of Pulmonary Medicine, Tartu Ulikool, Tartu, Estonia
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Falzon D, Jaramillo E, Schünemann HJ, Arentz M, Bauer M, Bayona J, Blanc L, Caminero JA, Daley CL, Duncombe C, Fitzpatrick C, Gebhard A, Getahun H, Henkens M, Holtz TH, Keravec J, Keshavjee S, Khan AJ, Kulier R, Leimane V, Lienhardt C, Lu C, Mariandyshev A, Migliori GB, Mirzayev F, Mitnick CD, Nunn P, Nwagboniwe G, Oxlade O, Palmero D, Pavlinac P, Quelapio MI, Raviglione MC, Rich ML, Royce S, Rüsch-Gerdes S, Salakaia A, Sarin R, Sculier D, Varaine F, Vitoria M, Walson JL, Wares F, Weyer K, White RA, Zignol M. WHO guidelines for the programmatic management of drug-resistant tuberculosis: 2011 update. Eur Respir J 2011; 38:516-28. [PMID: 21828024 DOI: 10.1183/09031936.00073611] [Citation(s) in RCA: 474] [Impact Index Per Article: 36.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
The production of guidelines for the management of drug-resistant tuberculosis (TB) fits the mandate of the World Health Organization (WHO) to support countries in the reinforcement of patient care. WHO commissioned external reviews to summarise evidence on priority questions regarding case-finding, treatment regimens for multidrug-resistant TB (MDR-TB), monitoring the response to MDR-TB treatment, and models of care. A multidisciplinary expert panel used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to develop recommendations. The recommendations support the wider use of rapid drug susceptibility testing for isoniazid and rifampicin or rifampicin alone using molecular techniques. Monitoring by sputum culture is important for early detection of failure during treatment. Regimens lasting ≥ 20 months and containing pyrazinamide, a fluoroquinolone, a second-line injectable drug, ethionamide (or prothionamide), and either cycloserine or p-aminosalicylic acid are recommended. The guidelines promote the early use of antiretroviral agents for TB patients with HIV on second-line drug regimens. Systems that primarily employ ambulatory models of care are recommended over others based mainly on hospitalisation. Scientific and medical associations should promote the recommendations among practitioners and public health decision makers involved in MDR-TB care. Controlled trials are needed to improve the quality of existing evidence, particularly on the optimal composition and duration of MDR-TB treatment regimens.
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Affiliation(s)
- D Falzon
- Stop TB Dept, World Health Organization, Geneva 27, Switzerland.
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Migliori GB, Sotgiu G, Jaramillo E, Mirzayev F, Centis R, Colvin C, Richardson MD. Development of a standardised multidrug-resistant/extensively drug-resistant tuberculosis assessment and monitoring tool. Int J Tuberc Lung Dis 2009; 13:1305-1308. [PMID: 19793438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
Abstract
Multidrug-resistant (MDR) and extensively drug-resistant (XDR) tuberculosis (TB) threaten global TB control. The MDR/XDR-TB Assessment and Monitoring Tool was developed to standardise evaluations of country capacity to prevent, diagnose and treat MDR/XDR-TB and identify program gaps. It provides data to guide national plans, generates baseline data to measure progress, provides information for Green Light Committee (GLC) and Global Fund to Fight AIDS, Tuberculosis and Malaria applications, guides technical assistance and informs donor investment. In field testing, the tool scoring system performed equally well in high- and low-prevalence settings. This GLC-endorsed tool supports global efforts to contain MDR/XDR-TB and is useful in developing national MDR/XDR-TB control strategies.
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Affiliation(s)
- G B Migliori
- Fondazione S Maugeri, Care and Research Institute, World Health Organization Collaborating Centre for TB and Lung Diseases, Tradate, Italy
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