National action plan to combat multidrug-resistant tuberculosis.
Hinman-AR; Hughes-JM; Berreth-DA; Broome-CV; Curran-JW; Hardy-GE Jr.; Katz-MF; Matthews-GW; Millar-JD; Nicola-RM; Powell-EK; Snider-DE Jr.; Warren-RC; Willis-BM; Allen-JR; Feigal-DW; Goldberger-MJ; Haverkos-HW; Hill-JC; Iser-JP; McDiarmid-MA; McDonald-K; Moritsugu-KP; Rosenberg-ZF; Ross-A; Shekar-SS; Tempest-BD; Trachtenberg-AI; Zellinger-J; Bass-JB Jr.; Callan-WJ; Hadler-JL; Novick-LF; Sharma-D; Thacher-AG
MMWR Recomm Rep 1992 Jun; 41(RR-11):1-48
At no time in recent history has tuberculosis (TB) been as great a concern as it is today. TB cases are on the increase, and the most serious aspect of the problem is the recent occurrence of outbreaks of multidrug-resistant (MDR) TB, which pose an urgent public health problem and require rapid intervention. A Task Force composed of representatives of many federal agencies has developed a National Action Plan for addressing this problem. The Task Force identified a number of objectives to be met if MDR-TB is to be successfully combatted. These objectives fail under the categories of a) surveillance and epidemiology -- determining the magnitude and nature of the problem; b) laboratory diagnosis -- improving the rapidity, sensitivity, and reliability of diagnostic methods for MDR-TB; c) patient management -- effectively managing patients who have MDR-TB and preventing patients with drug-susceptible TB from developing drug- resistant disease; d) screening and preventive therapy -- identifying persons who are infected with or at risk of developing MDR-TB and preventing them from developing clinically active TB; e) infection control -- minimizing the risk of transmission of MDR-TB to patients, workers, and others in institutional settings; f) outbreak control; g) program evaluation -- ensuring that TB programs are effective in managing patients and preventing MDR-TB; h) information dissemination/ training and education; and i) research to provide new, more effective tools with which to combat MDR-TB. The Action Plan lays out a series of activities to be undertaken at the national level. For each category, the Plan presents statements of problems to be overcome, followed by a summary of the objective to be achieved and steps to be carried out. For each implementation step, responsibility is assigned to the appropriate organization and start- up dates are listed.
Infection-control; Infectious-diseases; Respiratory-system-disorders; Pulmonary-system-disorders; Drug-interaction; Drugs; Public-health; Disease-control; Disease-prevention; Disease-transmission
Issue of Publication
Morbidity and Mortality Weekly Report: Recommendations and Report