| Titre : | Tuberculosis outcome monitoring - is it time to update European recommendations ? (2006) |
| Auteurs : | D. FALZON ; A. INFUSO ; J. SCHOLTEN ; Institut de Veille Sanitaire. (I.N.V.S.). Euro Tb. Saint-Maurice. FRA |
| Type de document : | Article |
| Dans : | Eurosurveillance European communicable disease quarterly (vol. 11, n° 1-3, 2006/03) |
| Pagination : | 20-25 |
| Langues: | Anglais |
| Mots-clés : | Tuberculose ; Europe ; Recommandation ; Réseau surveillance ; Surveillance épidémiologique ; Traitement ; Déclaration maladie |
| Résumé : | [BDSP. Notice produite par InVS 4vf2YR0x. Diffusion soumise à autorisation]. We discuss tuberculosis treatment outcome monitoring and the adherence of countries in the WHO European Region to modifications introduced in 2001 to enhance inter-country comparability. Outcomes for definite pulmonary tuberculosis cases were compared for cases reported in 2001 and 2000. Reporting was considered complete if 98% or more of cases originally notified had outcome reported. In both years, maximal period of observation was 12 months from start of treatment. In 2000, countries reported outcome as'cured'completed'died'failed'defaulted'transferred'and'other, not evaluated'for cohorts of new and retreated cases. In 2001, following changes, countries were also requested to monitor cases with unknown treatment history and two outcome categories were added - still on treatment'and'unknown'Of 42 countries reporting outcomes in 2001,74% (31) had nationwide, complete data, up from 50% (19/38) in 2000. Twelve of 21 countries that reported on observation period complied with that recommended.'Defaulted'and'transferred'were applied interchangeably with'unknown'Among new cases, still on treatment'was used by 15/31 countries (range : 1% - 15%).'Failed'was rarely recorded in western European countries (<1%). European tuberculosis outcome monitoring should include all definite pulmonary cases, applying the standard period of observation and revised categories, and preferably reported using individual data. (R.A.). |
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