Towards TB elimination: ECDC and ERS introduce new guidelines on tuberculosis care in Europe
ECDC and the European Respiratory Society (ERS) have developed 21 patient-centred standards that aim to guide clinicians and public health workers in their daily work to ensure optimal diagnosis, treatment and prevention of tuberculosis (TB) in Europe.
Nearly 74 000 reported TB cases in the EU/EEA in 2010 clearly show that tuberculosis remains a public health challenge across the region.
The European Union Standards for Tuberculosis Care (ESTC)
seek to bridge current gaps in the case management of TB that
were
identified in a recent survey. In the process, the ERS has taken the lead in developing the
clinically related standards and ECDC has developed the public
health related standards. The ESTC are based on the same
recommendations as the
International Standards for TB Care (ISTC), but feature additional supplements and replacement
information relevant for healthcare providers in the EU.
“Multidrug-resistant and extensively
drug-resistant TB have gained a foothold in the EU: 4.6% of the
TB patients were diagnosed with MDR TB in 2010 and only 30% of
the MDR TB patients notified in 2008 have been successfully
treated and the proportion of XDR TB patients increased from
8.2% to 13.2% from 2009 to 2010 ”, warns ECDC Director
Marc Sprenger.
"We have to do better than that and
actively prevent drug-resistant TB. To do this, the new EU
Standards offer hands-on and easy-to-use advice tailored to the
needs of the EU/EEA. It is every TB patient's right to receive
the best of care and we have a responsibility towards EU/EEA
citizens to prevent any more spread of TB, MDR and XDR
TB.”
The publication of the guidelines coincides with the start of a special review series in the ERJ, looking at the current state of TB in Europe. The series begins today with an editorial and paper on the prevalence of inappropriate tuberculosis treatment regimens.
Related links
- Full press release
- European Union Standards of Tuberculosis Care
- ECDC-WHO report Tuberculosis surveillance and monitoring in Europe 2010
- Read the ECDC Guidance Management of contacts of MDR TB and XDR TB patients
- Towards TB elimination A follow-up to the Framework Action Plan to fight TB in the EU
- More information on tuberculosis
ECDC