Raising standards in UK TB control: introducing cohort review: Table 1

Anderson, Charlotte; White, Jacqueline; Abubakar, Ibrahim; Lipman, Marc; Tamne, Surinder; Anderson, Sarah R.; Dekoningh, J; Dart, S

doi:10.1136/thoraxjnl-2013-203751

Cited by 17 publications

(14 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The fact that this observed reduction in TB rates was seen across different population groups, including long-term migrants and the UK-born, suggests that it is likely to reflect the combined impact of a variety of interventions to improve TB services across the UK. These interventions include the establishment and roll-out of Cohort Review,9 local projects for the testing and treatment of latent TB infection in new migrants,4–8 the establishment of the London Find and Treat service,10 the establishment of the national TB MIRU-VNTR Strain Typing Service,26 the establishment of TB control boards in some areas, and more recently the publication and roll-out of the Collaborative TB Strategy for England in January 2015 11. This strategy built on the local work that went before it, focusing on 10 key areas for action and providing new investment for a national programme of migrant latent TB testing and treatment,27 the setting up of TB Control Boards to cover the whole of England and the establishment of a national TB programme office.…”

Section: Discussionmentioning

confidence: 99%

Reduction in tuberculosis incidence in the UK from 2011 to 2015: a population-based study

Thomas

Harris

Muzyamba

et al. 2018

Thorax

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Reduction in tuberculosis incidence in the UK from 2011 to 2015: a population-based study

Thomas

Harris

Muzyamba

et al. 2018

Thorax

Self Cite

View full text Add to dashboard Cite

show abstract

“…Cohort review is the systematic appraisal of the case management and contact investigation of every TB case [6], and was gradually rolled out across the South East from 2011. At cohort review, TB nurses retrospectively complete case-level forms, capturing sociodemographic, clinical, treatment and contact tracing information.…”

Section: Data Sources and Data Handlingmentioning

confidence: 99%

Factors associated with delay in treatment initiation for pulmonary tuberculosis

et al. 2020

Self Cite

View full text Add to dashboard Cite

BackgroundDelays in treatment initiation for tuberculosis (TB) may lead to worse clinical outcomes and increased transmission. We aimed to determine factors associated with treatment delays, to guide public health action.MethodsWe extracted data on clinical characteristics and documented potential barriers to treatment from all pulmonary TB cases with clinical case review data from 2011 to 2015 and linked these to TB surveillance data. We described the distribution of delays from symptom onset to first presentation (“presentation delay”) and from presentation to treatment (“healthcare delay”). We calculated time ratios (TRs) to determine the association between sociodemographic and clinical factors and delay outcomes.ResultsMedian presentation delay was 30 days (interquartile range (IQR) 11–72 days). Language barriers were associated with 40% longer presentation delay (TR 1.40, 1.01–1.94). Median healthcare delay was 40 days (IQR 13–89 days), and mostly consisted of the time taken before deciding to refer to TB specialists (median 26 days, IQR 4–73 days). Shorter healthcare delay was associated with positive sputum smear (TR 0.58, 0.47–0.70), UK residency <2 years (TR 0.47, 0.32–0.67), male sex (TR 0.74, 0.60–0.91) and secondary care referral (TR 0.63, 0.51–0.78).ConclusionsOur findings support continued initiatives to enable access to care for migrant populations to minimise presentation delay. Multifaceted approaches to increase clinician awareness of TB clinical presentations, to implement systems enabling early case recognition, to maximise the yield from sputum smear investigations and to ensure rapid diagnosis of smear negative cases are required to achieve further TB control.

show abstract

“…The importance of close liaison with other experienced clinicians and microbiologists, as well as public health officials within the setting of a multidisciplinary team meeting or through the use of regular cohort reviews (Anderson et al 2014), cannot be overemphasized. These provide optimal care for the individual and strengthen public health management of TB and are also an excellent method of education and training for all individuals involved in TB care (Migliori et al 2012).…”

Section: Treatment Of Tbmentioning

confidence: 99%

Clinical Aspects of Adult Tuberculosis

Loddenkemper

Lipman

Zumla

2015

Cold Spring Harb Perspect Med

Self Cite

View full text Add to dashboard Cite

Tuberculosis (TB) in adults can present in a large number of ways. The lung is the predominant site of TB. Primary pulmonary TB should be distinguished from postprimary pulmonary TB, which is the most frequent TB manifestation in adults (70%-80% cases). Cough is common, although the chest radiograph often raises suspicion of disease. Sputum sampling is a key step in the diagnosis of TB, and invasive procedures such as bronchoscopy may be necessary to achieve adequate samples for diagnosis. Extrapulmonary involvement, which may present many years after exposure, occurs in a variable proportion of cases (20%-45%). This reflects the country of origin of patients and also the frequency of associated human immunodeficiency virus (HIV) coinfection. In the latter case, the presentation of TB is often nonspecific, and care needs to be taken to not miss the diagnosis. Anti-TB therapy should be given in line with proven (or assumed) drug resistance. In extrapulmonary TB, adjunctive therapeutic measures may be indicated; although in all cases, support is often required to ensure that people are able to complete treatment with minimal adverse events and maximal adherence to the prescribed regimen, and so reduce risk of future disease for themselves and others.

show abstract

Raising standards in UK TB control: introducing cohort review: Table 1

Cited by 17 publications

References 1 publication

Reduction in tuberculosis incidence in the UK from 2011 to 2015: a population-based study

Reduction in tuberculosis incidence in the UK from 2011 to 2015: a population-based study

Factors associated with delay in treatment initiation for pulmonary tuberculosis

Clinical Aspects of Adult Tuberculosis

Contact Info

Product

Resources

About