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Identifying gaps in the quality of latent tuberculosis infection care

Latent tuberculosis infection (LTBI) occurs after transmission and acquisition of infection, when the tuberculosis (TB) bacteria lie dormant in a person. Nearly one-quarter of the world's population is estimated to have LTBI, yet few studies have been published assessing the quality of LTBI ser...

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Detalles Bibliográficos
Autores principales: Hannah, Alsdurf, Dick, Menzies
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6957813/
https://www.ncbi.nlm.nih.gov/pubmed/31956699
http://dx.doi.org/10.1016/j.jctube.2020.100142
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author Hannah, Alsdurf
Dick, Menzies
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Dick, Menzies
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description Latent tuberculosis infection (LTBI) occurs after transmission and acquisition of infection, when the tuberculosis (TB) bacteria lie dormant in a person. Nearly one-quarter of the world's population is estimated to have LTBI, yet few studies have been published assessing the quality of LTBI services globally. This paper reviews issues to providing patient-centered LTBI services and offers an example framework to formally assess the quality of LTBI patient care. By applying the LTBI cascade of care model, TB programmes can evaluate the gaps and barriers to high-quality care and develop locally-driven solutions to improve LTBI services. Quality care for LTBI must address some of the key challenges to services including: (1) low prioritization of LTBI; (2) gaps in healthcare provider knowledge about testing and treatment; and (3) patient concerns about side effects of preventive treatment regimens. TB programmes need to ensure that these issues are addressed in a patient-centered manner, with clear communication and ongoing evaluation of the quality of LTBI services. Quality LTBI care must be a central focus, particularly identifying and engaging more household contacts in preventive treatment, in order to halt the progression to active disease thereby stopping TB transmission globally.
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spelling pubmed-69578132020-01-17 Identifying gaps in the quality of latent tuberculosis infection care Hannah, Alsdurf Dick, Menzies J Clin Tuberc Other Mycobact Dis Article Latent tuberculosis infection (LTBI) occurs after transmission and acquisition of infection, when the tuberculosis (TB) bacteria lie dormant in a person. Nearly one-quarter of the world's population is estimated to have LTBI, yet few studies have been published assessing the quality of LTBI services globally. This paper reviews issues to providing patient-centered LTBI services and offers an example framework to formally assess the quality of LTBI patient care. By applying the LTBI cascade of care model, TB programmes can evaluate the gaps and barriers to high-quality care and develop locally-driven solutions to improve LTBI services. Quality care for LTBI must address some of the key challenges to services including: (1) low prioritization of LTBI; (2) gaps in healthcare provider knowledge about testing and treatment; and (3) patient concerns about side effects of preventive treatment regimens. TB programmes need to ensure that these issues are addressed in a patient-centered manner, with clear communication and ongoing evaluation of the quality of LTBI services. Quality LTBI care must be a central focus, particularly identifying and engaging more household contacts in preventive treatment, in order to halt the progression to active disease thereby stopping TB transmission globally. Elsevier 2020-01-05 /pmc/articles/PMC6957813/ /pubmed/31956699 http://dx.doi.org/10.1016/j.jctube.2020.100142 Text en © 2020 Published by Elsevier Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Hannah, Alsdurf
Dick, Menzies
Identifying gaps in the quality of latent tuberculosis infection care
title Identifying gaps in the quality of latent tuberculosis infection care
title_full Identifying gaps in the quality of latent tuberculosis infection care
title_fullStr Identifying gaps in the quality of latent tuberculosis infection care
title_full_unstemmed Identifying gaps in the quality of latent tuberculosis infection care
title_short Identifying gaps in the quality of latent tuberculosis infection care
title_sort identifying gaps in the quality of latent tuberculosis infection care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6957813/
https://www.ncbi.nlm.nih.gov/pubmed/31956699
http://dx.doi.org/10.1016/j.jctube.2020.100142
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