Raising standards in UK TB control: introducing cohort review

被引:19
作者
Anderson, Charlotte [1 ]
White, Jacqueline [2 ]
Abubakar, Ibrahim [3 ,4 ]
Lipman, Marc [2 ]
Tamne, Surinder [4 ]
Anderson, Sarah R. [1 ]
deKoningh, Jennifer [2 ]
Dart, Susan [2 ]
机构
[1] Publ Hlth England, Field Epidemiol Serv Victoria, London SW1W 9SZ, England
[2] UCL, Royal Free Hosp NHS Fdn Trust, North Cent London TB Serv, London, England
[3] UCL, Ctr Infect Dis Epidemiol, Dept Infect & Populat Hlth, London, England
[4] Publ Hlth England, Ctr Infect Dis Surveillance & Control, Dept Resp Dis, London SW1W 9SZ, England
关键词
NEW-YORK-CITY; TUBERCULOSIS;
D O I
10.1136/thoraxjnl-2013-203751
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Cohort review has been used internationally to support tuberculosis (TB) control. We describe its first use in the UK by a London TB service. Improvements were noted in case management and contact tracing, weaknesses identified and important service changes put in place. Key areas of impact were directly observed therapy (DOT) provision (a greater proportion of cases offered DOT, and in response to low uptake resources diverted to create posts responsible for patient-centred DOT delivery), and contact tracing (more contacts per case screened and assessed). Cohort review enables whole system review and improvement. It has subsequently been adopted across the UK.
引用
收藏
页码:187 / 189
页数:3
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