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Multidrug-resistant tuberculosis in the Northern Territory: A 10-year retrospective case series.

Abstract To describe the clinical characteristics, risk factors, diagnostic modalities, treatments, subsequent outcomes and complications of Multidrug-resistant tuberculosis (MDR-TB) cases residing in the Northern Territory.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title communicable diseases intelligence quarterly report
Publication Year Start




PMID- 28278406
OWN - NLM
STAT- In-Process
DA  - 20170309
LR  - 20170309
IS  - 1447-4514 (Print)
IS  - 1447-4514 (Linking)
VI  - 40
IP  - 3
DP  - 2016 Sep 30
TI  - Multidrug-resistant tuberculosis in the Northern Territory: A 10-year
      retrospective case series.
PG  - E334-E339
AB  - BACKGROUND AND OBJECTIVE: To describe the clinical characteristics, risk factors,
      diagnostic modalities, treatments, subsequent outcomes and complications of
      Multidrug-resistant tuberculosis (MDR-TB) cases residing in the Northern
      Territory. METHODS: A retrospective case series was conducted of all patients
      treated for MDR-TB in the Northern Territory between 1 January 2004 and 31
      December 2013. This is the first study to analyse data relating to the subset of 
      MDR-TB cases treated in the Northern Territory. Cases were identified by the
      Northern Territory Centre for Disease Control (NT CDC): the public health unit
      responsible for the management of tuberculosis in the Northern Territory. Outcome
      measures included patient demographics, diagnostics, HIV status, treatment
      methods, outcomes, and complications. RESULTS AND CONCLUSIONS: Six MDR-TB cases
      were treated in the Northern Territory; 5 of these were notified by the NT CDC
      during the study period (1.5% of all Northern Territory TB notifications). The
      median age of all 6 patients was 31 years (range 21 to 50 years), sex
      distribution was equal and all were born overseas. Country of birth in a World
      Health Organization (WHO) high burden MDR-TB country and previous treatment were 
      most highly correlated with a current diagnosis of MDR-TB. Access to rapid drug
      susceptibility testing reduced the time to effective therapy from 45 to 27 days. 
      Five patients met criteria for the WHO outcome term 'treatment success'. The
      median length of treatment for the 5 patients treated in Australia was 623 days
      (537 to 730 days). Side effects to therapy were common and serious. The incidence
      of MDR-TB in the Northern Territory is similar to other Australian states. Rapid 
      drug susceptibility testing reduces the time to effective therapy. Treatment
      regimens are complex, toxic and have serious resource implications for health
      care providers. Successful treatment outcomes are possible with coordinated TB
      control programs. Commun Dis Intell 2016;40(3):E334-E339.
FAU - Judge, Daniel
AU  - Judge D
AD  - Respiratory Physician, Cairns Hospital, Cairns, Queensland.
FAU - Krause, Vicki
AU  - Krause V
AD  - Director: Centre for Disease Control Northern Territory, Department of Health,
      Northern Territory.
LA  - eng
PT  - Journal Article
DEP - 20160930
PL  - Australia
TA  - Commun Dis Intell Q Rep
JT  - Communicable diseases intelligence quarterly report
JID - 101601804
EDAT- 2017/03/10 06:00
MHDA- 2017/03/10 06:00
CRDT- 2017/03/10 06:00
PST - epublish
SO  - Commun Dis Intell Q Rep. 2016 Sep 30;40(3):E334-E339.

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