Diagnosis and management of post-tuberculosis lung disease

Perspectives from the 2nd International Post-Tuberculosis Symposium: mobilising advocacy and research for improved outcomes

“…Finally, the symposium highlighted the importance of including the patient care cascade in the disease spectrum of TB that oscillates from exposure to ‘pre-TB’, active disease and post TB. The incorporation of TB-associated morbidity (post-TB) into National TB Guidelines is also an essential component of comprehensive, patient-centred TB care, as is the development of both international and regional guidelines (e.g., the recent recommendations in Brazil 47 ). Through these steps from advocacy to action, the symposium Steering Committee, academic working groups and delegates aim to improve the long-term health outcomes and quality of life for all children, adolescents and adults that survive TB disease.…”

“…Subsequent to the development of PTLD, vaccination against other respiratory pathogens may prevent additional morbidity, 46 and pulmonary rehabilitation may prove to be a low-cost intervention that can be adapted to local conditions. 11 , 12 , 47 …”