Keywords
tuberculosis; outpatient care; Italy; TB-care, medical ethics
Abstract
Despite notable progresses in the recent decades, tuberculosis (TB) continues to remain a public health concern even in Europe. TB prevention and care should be people-centred, improving ambulatory models across countries, in order to expand access to diagnosis and treatment for both TB infection and disease. Even more, during emergencies such as the current pandemic, when seeking of TB care has been replaced by the fear of coronavirus disease 2019 (COVID-19), TB patients care is fundamental. In this short communication, we document how was possible to implement a TB outpatient service meanwhile a local outbreak of SARS-CoV-2 transmission was ongoing.
References
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[11] Riccardi N, Villa S, Alagna R, et al. Advantages and Challenges of Tailored Regimens for Drug-Resistant Tuberculosis: A StopTB Italia Look into the Future. Infect Drug Resist. 2020;13:2795-2800. Published 2020 Aug 11. doi:10.2147/IDR.S257480
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[14] Martini M., Barberis, I., Gazzaniga, V., Gazzaniga, V., Icardi, G. The fight to end tuberculosis: A global challenge in strong partnership. J Prev Med Hyg, 2020, 61, pp. E1–E2
[2] Martini M., Besozzi G., Barberis I. The never-ending story of the fight against tuberculosis: from Koch's bacillus to global control programs. J Prev Med Hyg. 2018 Sep 28;59(3):E241-E247. doi: 10.15167/2421-4248/jpmh2018.59.3.1051. eCollection 2018 Sep.
[3] Martini M., Riccardi, N., Giacomelli, A., Gazzaniga, V., Besozzi, G. Tuberculosis: An ancient disease that remains a medical, social, economical and ethical issue J Prev Med Hyg, 2020, 61, pp. E16–E18
[4] G l o b a l t u b e r c u l o s i s r e p o r t 2 0 19 . G e n e v a : W o r l d H e a l t h O r g a n i z a t i o n; 2 0 19 . L i c e n c e : C C B Y- N C- S A 3 . 0 I G O
[5] A people-centred model of tuberculosis care: a blueprint for eastern European and central Asian countries, 1st edition. Copenhagen: WHO Regional Office for Europe; 2017.
[6] https://www.euro.who.int/__data/assets/pdf_file/0004/388039/ambulatory-care-eng.pdf?ua=1
[7] Riccardi N, Pontarelli A, Alagna R, et al. Epidemiology and treatment outcome of MDR and pre-XDR TB in international migrants at two reference centers in the North of Italy: a cross-sectional study coordinated by Stop TB Italia Onlus. Public Health. 2020;180:17-21. doi:10.1016/j.puhe.2019.10.022
[8] Guiding principles to reduce tuberculosis transmission in the WHO European Region. Copenhagen: WHO Regional Office for Europe; 2018.
[9] Mantica G, Riccardi N, Terrone C, Gratarola A. Non-COVID-19 visits to emergency departments during the pandemic: the impact of fear. Public Health. 2020;183:40-41. doi:10.1016/j.puhe.2020.04.046
[10] Migliori GB, Thong PM, Akkerman O, et al. Worldwide Effects of Coronavirus Disease Pandemic on Tuberculosis Services, January-April 2020 [published online ahead of print, 2020 Sep 11]. Emerg Infect Dis. 2020;26(11):10.3201/eid2611.203163. doi:10.3201/eid2611.203163
[11] Riccardi N, Villa S, Alagna R, et al. Advantages and Challenges of Tailored Regimens for Drug-Resistant Tuberculosis: A StopTB Italia Look into the Future. Infect Drug Resist. 2020;13:2795-2800. Published 2020 Aug 11. doi:10.2147/IDR.S257480
[12] Morgan S, Yoder LH. A concept analysis of person-centered care. J Holist Nurs. 2012; 30(1):6–15.
[13] Strengthening integrated, people-centred health services. Geneva: World Health Organization; 2016.
[14] Martini M., Barberis, I., Gazzaniga, V., Gazzaniga, V., Icardi, G. The fight to end tuberculosis: A global challenge in strong partnership. J Prev Med Hyg, 2020, 61, pp. E1–E2