Search results for " tuberculosis"
showing 10 items of 213 documents
2015
Globally, there is substantial concern regarding the challenges of treating complex drug resistance patterns in multidrug resistant tuberculosis cases. Utilising data from three different settings (Estonia, Latvia, Romania) we sought to contrast drug susceptibility profiles for multidrug resistant tuberculosis cases, highlight the difficulties in designing universal regimen, and inform future regimen selection. Demographic and microbiological surveillance data for multidrug resistant tuberculosis cases from 2004-13 were analysed. High levels of additional resistance to currently recommended second line drugs were seen in all settings, with extensive variability between countries. Accurate d…
Cost-effectiveness of bedaquiline in MDR and XDR tuberculosis in Italy
2016
ABSTRACT Objective: To evaluate the cost-effectiveness of bedaquiline plus background drug regimens (BR) for multidrug-resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB) in Italy. Methods: A Markov model was adapted to the Italian setting to estimate the incremental cost-effectiveness ratio (ICER) of bedaquiline plus BR (BBR) versus BR in the treatment of MDR-TB and XDR-TB over 10 years, from both the National Health Service (NHS) and societal perspective. Cost-effectiveness was evaluated in terms of life-years gained (LYG). Clinical data were sourced from trials; resource consumption for compared treatments was modelled according to advice from an expert c…
Estudios de epidemiología molecular en población inmigrante en España
2014
Fundamentos: La epidemiología molecular es una nueva disciplina que permite la integración de la información sobre la variabilidad genética de patógenos infecciosos con su difusión en la población y subgrupos de la misma incluyendo, por ejemplo, las mutaciones de resistencia a antibióticos y antivirales. El objetivo es conocer qué posibles diferencias existe en las características genéticas de los agentes infecciosos que afectan a las poblaciones inmigrante y autóctoctona en España. Métodos: Se revisaron artículos originales publicados entre 1998-2013, con las palabras clave "epidemiología molecular", "tipado molecular", "secuenciación", "inmigrante", "España". Resultados: De un total de 26…
Integrative transnational analysis to dissect tuberculosis transmission events along the migratory route from Africa to Europe
2021
páginas, 4 figuras, 3 tablas
Delayed diagnosis of extrapulmonary tuberculosis in a 32-year-old man with knee pain
2016
A 32-year-old Bangladeshi male was admitted at our emergency department for trauma of the left knee. The radiographs showed absence of fracture, and presence of an indeterminate oval lucency in the proximal tibia. Further examinations were suggested, but the patient refused. 6 months later, the patient re-presented at our emergency department. A CT scan showed progression of musculoskeletal involvement and spread to the liver. This case underlines the importance of considering tuberculosis in the differential diagnosis of indeterminate bone lesions in immigrant patients.
Die Lungentuberkulose – aktuelle radiologische Diagnostik einer alten Krankheit
2000
Inzidenz. Abnehmende Inzidenzen aktiver Tuberkulose in den Industrielandern haben diese Erkrankung aus dem Bewusstsein vieler verdrangt. Dennoch stellt die Tuberkulose weiterhin weltweit die am haufigsten zum Tode fuhrende Infektionskrankheit dar. In den Industrielandern tragen Faktoren wie Einwanderungsbewegungen, zunehmende Verarmung und die Zunahme immunsupprimierter Patienten, insbesondere durch die HIV-Epidemie, dazu bei, dass ein Reservoir fur die Tuberkulose aufrecht erhalten wird. Diagnose. Eine fruhzeitige Diagnose ist wegen der spezifischen Therapiemoglichkeiten entscheidend fur den Krankheitsverlauf; im Falle von multiresistenten Stammen ist sie wichtig zur Verhinderung einer wei…
Tuberculosis among Migrant Populations in Sicily: A Field Report
2021
Background. In the EU, tuberculosis (TB) mainly affects vulnerable people, including migrants. From 2014 to 2017, we have estimated the frequency of both tuberculosis and latent tuberculosis infection (LTBI) among the migrant population hosted in 41 reception centers in western Sicily (ITaCA network). Materials and Methods. All migrants were consecutively recruited for the screening of TB infection with physical examination and TST in 1,020 migrants and with IGRA in the others 2,690. The screening was carried out 4–8 weeks after landing in Sicily. For all migrants with a positive screening test, chest X-ray and smear examination were performed. LTBI was defined by positivity of TST or IGRA …
Mycobacterium tuberculosis multirezistences noteikšana
2018
Latvijā un pasaulē joprojām mirst no ārstējamas slimības – tuberkuloze ir devītais nāves cēlonis pasaulē. Nozīmīga sabiedrības veselības problēma ir M. tuberculosis multirezistence pret antibakteriālajiem līdzekļiem. Rezistence pret antibakteriālajiem līdzekļiem galvenokārt saistīta ar to, ka daļa tuberkulozes slimnieku netiek savlaicīgi atklāti, tādējādi turpinot slimības aktīvu transmisiju sabiedrībā; antibakteriālo līdzekļu nepareizu pielietošanu – priekšlaicīgi pārtrauc terapiju vai lieto zāles neregulāri, kā rezultātā rodas multirezistentās tuberkulozes formas. Darba mērķis: Noteikt no klīniskā materiāla izdalīto M. tuberculosis celmu sastopamības biežumu un to rezistenci pret antibakt…
Mycobacterium tuberculosis rezistences noteikšana pret pirmās rindas prettuberkulozes medikamentiem
2019
Neskatoties uz mūsdienu medicīnas attīstību, tuberkuloze joprojām ir viens no lielākiem draudiem cilvēcei. Tuberkulozi izraisa Mycobacterium tuberculosis un šai baktērijai ir raksturīga izteikta rezistence pret antibakteriāliem līdzekļiem. Darbā tiek apkopota literatūra par M. tuberculosis, prettuberkulozes medikamentiem, rezistences mehānismiem un statistikas dati par tuberkulozes saslimšanu Latvijā un pasaulē. Praktiskā daļā tika iegūti dati par zāļu jutības testu rezultātiem (ar BACTEC MGIT) periodā no 2018. gada 2. janvāra līdz 2019. gada 23. janvārim Tuberkulozes un plaušu slimību centrā. Kopumā, saslimšana ar tuberkulozi samazinās gan Latvijā, gan pasaulē, kā arī, pateicoties pareizām…
Lack of reactivation of tuberculosis in patients with psoriasis treated with secukinumab in a real-world setting of latent tuberculosis infection
2022
Background Some biologics for psoriasis, especially anti-tumor necrosis factor (TNF)-alpha therapies, may re-activate latent tuberculosis (TBC) infection with consequent morbidity and mortality. However, there is a low reported incidence of conversion to positive TBC status among patients with psoriasis treated with second-generation biologic therapies, particularly anti-interleukin (IL)-17 therapies such as secukinumab. Objectives To evaluate the safety profile of secukinumab in psoriasis patients with latent TBC infection. Methods Real-life data were collected by retrospective chart review on patients with moderate-to-severe psoriasis who showed positivity for TBC screening at baseline an…