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Editorial
. 2014 Oct;15(15):2113-6.
doi: 10.1517/14656566.2014.953053.

Drug-resistant tuberculosis control in South Africa: scientific advances and health system strengthening are complementary

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Editorial

Drug-resistant tuberculosis control in South Africa: scientific advances and health system strengthening are complementary

Nesri Padayatchi et al. Expert Opin Pharmacother. 2014 Oct.

Abstract

We examine some aspects of the South African health system that have contributed to the current multi- and extensively drug-resistant tuberculosis (M(X)DR-TB) epidemic and identify opportunities for change and improvement. Implementation of several recent major scientific advances have the potential to accelerate the control of M(X)DR-TB, but health systems strengthening will be essential.

Keywords: extensively drug-resistant tuberculosis; health systems strengthening; multi-drug-resistant tuberculosis.

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Figures

Figure 1
Figure 1
Number of MDR TB cases initiated on treatment at a TB specialist hospital in South Africa between 1995 and 2013. * Estimated figure based on data available for the first three quarters of 2013
Figure 2
Figure 2
Number of patients awaiting treatment initiation and admission at a TB specialist hospital in South Africa between 2006 and 2013

References

    1. Global Alliance for TB Drug Development. 2013 [cited 25 June 2014]; Available from: http://www.tballiance.org/why/mdr-xdr.php.
    1. Management of drug-resistant tuberculosis: Policy Guidelines. National Department of Health; Republic of South Africa: 2013.
    1. WHO. Global tuberculosis report. Geneva Switzerland: World Health Organization; 2013. http://wwwwhoint/tb/publications/global_report/en/2013.
    1. Weyer K, Lancaster J, Brand J, van der Walt M, Levin J. Survey Of Tuberculosis Drug Resistance In South Africa 2001 – 2002. Medical Research Council; Pretoria: 2004.
    1. Pooran A, Pieterson E, Davids M, Theron G, Dheda K. What is the cost of diagnosis and management of drug resistant tuberculosis in South Africa? PloS One. 2013;8(1):e54587. - PMC - PubMed

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