Pulmonary rehabilitation and tuberculosis: a new approach for an old disease

Mahler, Beatrice; Croitoru, Anca

doi:10.2478/pneum-2019-0024

Cited by 11 publications

(14 citation statements)

References 25 publications

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“…6 Pulmonary rehabilitation has also been proven to improve symptomatology, degree of functional independence, quality of life, and independence of TB patients in performing ADL. 7 Improvement in lung condition is the first development that can be observed in these two cases. With improved ventilation, oxygen supply to the brain is increased.…”

Section: Discussionmentioning

confidence: 85%

Comprehensive Rehabilitation of Severe Tuberculous Meningitis: A Case Series

Suisan

Thohari²

2022

SPMRJ

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Tuberculous Meningitis (TBM) is a severely disabling condition that often leads to death. It requires the right intensive treatment to minimize disability, speed up recovery, and reduce the risk of death. Rehabilitation is one of the key components in managing TBM. Rehabilitation is expected to speed up recovery and prevent disabilities. The purpose of this case series was to highlight the effectiveness of a comprehensive rehabilitation program in severe TBM patients at Intensive Care Unit (ICU) settings. We present two cases of severe TBM that showed significant changes after the rehabilitation program started. Both patients were at GCS 111. Rehabilitation program was a therapist-based multimodal sensory stimulation in a comprehensive ICU setting with approximately 2 weeks duration. After 5 days of rehabilitation, the first patient’s consciousness began to improve. The second patient’s consciousness began to improve after 1 week of rehabilitation. After approximately 2 weeks, both of them were already at GCS 456 and then transferred to the High Care Unit (HCU). There were only minor disabilities as they were transferred. The rehabilitation program was adapted and continued at HCU. After 1 month, both of them got discharged to home. These cases highlight the importance of rehabilitation programs to be included in the management of TBM patients.

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Section: Discussionmentioning

confidence: 85%

Comprehensive Rehabilitation of Severe Tuberculous Meningitis: A Case Series

Suisan

Thohari²

2022

SPMRJ

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“…Early case-finding, treatment initiation and treatment completion, resulting in interruption of TB transmission, reduction of mortality and addressing possible co-morbidities, through dedicated and multidisciplinary outreach services are key to eliminate TB among social risk groups in Romania, and indirectly reduce TB incidence among the general population, as well as tackling blood-borne virus diseases among the risk groups. 22 …”

Section: Discussionmentioning

confidence: 99%

Tuberculosis Surveillance in Romania Among Vulnerable Risk Groups Between 2015 and 2017

Munteanu¹,

Cioran²,

Hest³

et al. 2022

TCRM

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Purpose Romania has the highest tuberculosis (TB) burden in the European Union/European Economic Area (EU/EEA) comprising almost a quarter (23.4%) of the reported patients in 2017, and a TB notification rate six times higher than the EU/EEA average. Although the overall TB notification rate in Romania declined from 154/100.000 individuals to 66/100.000 individuals in the general population between 2002 and 2017, TB notification rates remain high in certain vulnerable populations groups such as prisoners, the homeless population and among drug users. Patients and Methods We conducted a descriptive study regarding TB monitoring data in Romania, including the aforementioned TB risk groups. Results Analysis regarding notified TB cases among these risk groups indicates that TB rates are 7 to 18 times higher than in the general population. One of the most alarming aspects regards the exceedingly high proportion of HIV-seropositivity among drug users and the high mortality rates among the homeless population and among drug users with TB. Conclusion This data underlines the importance of early identification among social risk groups using outreach active case-finding (ACF) activities, possibly combining TB screening with screening for other common, possibly life-threatening, co-morbidities for which an effective treatment is available. ACF could have a decisive role in TB control and eradication in Romania, when aimed at these high-risk groups.

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“…In Ukraine, the results of a study showed that PR should be applied at all disease stages, starting at the stationary phase and continuing during the outpatient and homecare phases. A recommendation of this study was that the session's exercise duration should be no more than 30 minutes 3-5 times a week for 8-12 weeks [49].…”

Section: Frequency and Duration Of The Programmentioning

confidence: 99%

Evidence on Pulmonary Rehabilitation and the Challenges Faced in Low- and Middle-Income Countries: A Systematic Qualitative Review

Farah

Groot

Pavlova

2021

Preprint

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Background In low-income countries (LIC) and low-middle-income countries (LMIC), the burden of chronic obstructive pulmonary disease (COPD) has increased due to the lack of prevention and the presence of barriers to enter rehabilitation programs. The aim of this systematic review is to analyze the evidence on pulmonary rehabilitation (PR) in LIC and LMIC. Methods A systematic literature review was conducted. Four electronic databases were searched for qualitative and quantitative studies that documented the presence of PR in LIC and LMIC. We report our findings following the Prisma guidelines. In addition, grey literature was also searched. Articles not in English, presenting a point of view and/or not treating an adult population (< 18 years old) were excluded from the review. Data were extracted by one reviewer and synthesized in the form of tables. Tables present individual characteristics of the PR reported within countries, including country of origin, study design, population attending, intervention (kind of program setting), frequency and duration of a program established (if available), with health outcomes. The PICO framework was used for every country with reported PR to assess population, intervention, comparison and outcomes found. This systematic review is registered on Prospero: CRD42020141655. Results In total, 47 publications were included in the review. In LIC, PR for HIV-infected patients was most frequently reported, while in LMIC, PR for COPD patients was most frequent. Duration and frequency of treatments reported were also different in LIC and LMIC. Health outcomes on cardiopulmonary function were established in all publications. Results found that the implementation of PR in LMIC is ongoing. The most important barriers to access are the lack of funds and know-how among professional healthcare givers. Conclusion Findings suggest that the literature on PR is scarce in LIC and LMIC. Structured or non-structured rehabilitation programs for patients suffering from COPD, HIV and Tuberculosis, are infrequently available. Strategic policy initiatives to diminish barriers and challenges are needed to implement more PR programs in LIC and LMIC.

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Pulmonary rehabilitation and tuberculosis: a new approach for an old disease

Cited by 11 publications

References 25 publications

Comprehensive Rehabilitation of Severe Tuberculous Meningitis: A Case Series

Comprehensive Rehabilitation of Severe Tuberculous Meningitis: A Case Series

Tuberculosis Surveillance in Romania Among Vulnerable Risk Groups Between 2015 and 2017

Evidence on Pulmonary Rehabilitation and the Challenges Faced in Low- and Middle-Income Countries: A Systematic Qualitative Review

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