tailieunhanh - THE MANAGEMENT OF MULTIDRUG RESISTANT TUBERCULOSIS IN SOUTH AFRICA

In this cross-sectional study data was obtained from reviewing the files of 1,594 patients who underwent bronchoscopy in Afzalipour Hospital during 2003-2007. These patients had various conditions ranging from chronic cough to abnormal findings on chest xray and hemoptysis and all underwent bronchoscopy due to the doctors’ orders. All cases consented to this study. Their bronchoscopy was done by experts who were skillful at diagnosing bronchial anthracosis. Bronchial anthracosis was characterized by dark pigmentations within airway mucosa found during bronchoscopy. Therefore, those with these dark pigmentations were considered as having bronchial anthracosis. All patients were anesthetized for bronchoscopy, and had oxygen support according to the related protocols | THE MANAGEMENT OF MULTIDRUG RESISTANT TUBERCULOSIS IN SOUTH AFRICA 2nd EDITION JUNE 1999 PREFACE TO FIRST EDITION The following guidelines are intended for use by health care professionals involved in the complex and difficult task of management of multidrug-resistant tuberculosis patients in South Africa. This document draws heavily from policy guidelines on the issue by the World Health Organisation the International Union Against Tuberculosis and Lung Disease and the Centers for disease Control and Prevention. However South Africa has a unique blend of health care services and resources and adaptations to existing policies had to be made in order to accommodate the great diversity in the country. These guidelines also reflect an integration of various provincial approaches to the problem of multidrug resistant tuberculosis and present consensus decisions on many difficult issues. The guidelines have been prepared with the idea that they will be used by health professionals working in regional tuberculosis management or lung disease referral centres. Some background detail has been included concerning laboratory testing and the dosages and side effects of drugs. Although this information will be known to the majority of physicians working in this field it may be useful to nurses social workers and those physicians who are new to the care of patients with MDR tuberculosis. This background information although not exhaustive should also be useful to medical registrars and pulmonologists in training. Furthermore the day to day care of patients with MDR TB whether or not they are on treatment may often be conducted at designated and approved ambulatory care clinics and the nursing and medical staff working in these clinics may require some technical background to the recommendations in this document. Karin Weyer National Tuberculosis Research programme Medical Research Council Pretoria December 1997 PREFACE TO SECOND EDITION The second edition has been updated by .

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