Drug-resistant and extensively drug-resistant tuberculosis in southern Africa

作者：Grobusch Martin Peter^*

来源：Current Opinion in Pulmonary Medicine, 2010, 16(3): 180-185.

DOI：10.1097/MCP.0b013e3283378680

• extensive drug resistance
• HIV/AIDS
• multidrug resistance
• southern Africa
• tuberculosis

Purpose of review
Drug-resistant tuberculosis (TB) is of increasing global concern. One of the hardest hit regions is southern Africa. This study focuses on a concise update on recently published developments in the field.
Recent findings
There is mounting evidence from high-coprevalence areas that the TB and HIV pandemics must be viewed as an entity and tackled together. In that context, it has become clear that a shift may be required from standard hospital-based models of care towards community-based approaches. Innovative rapid diagnostics to detect TB drug resistance suitable for the use in resource-poor settings and novel drugs effective against drug-resistant Mycobacterium tuberculosis strains are currently developed.
Summary
In order to allow for a maximum impact of novel interventions on the problem of multidrug-resistant and extensively drug-resistant TB, public health systems and existing TB programs must be strengthened significantly.

• 出版日期2010-5