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Pneumologie. 2017 Jun;71(6):325-397. doi: 10.1055/s-0043-105954. Epub 2017 Jun 26.

[Tuberculosis Guideline for Adults - Guideline for Diagnosis and Treatment of Tuberculosis including LTBI Testing and Treatment of the German Central Committee (DZK) and the German Respiratory Society (DGP)].

[Article in German; Abstract available in German from the publisher]

Author information

1
Agaplesion Diakonieklinikum Rotenburg, Zentrum für Pneumologie, Rotenburg (Wümme).
2
Lungenklinik Heckeshorn, Klinik für Pneumologie im HELIOS Klinikum Emil von Behring, Berlin.
3
Deutsches Zentralkomitee zur Bekämpfung der Tuberkulose (DZK e.V.), Berlin.
4
Universitäts-Kinderklinik, Bochum.
5
Institut für Epidemiologie Universitätsklinikum Schleswig-Holstein, Campus Kiel c/o LungenClinic, Grosshansdorf.
6
Deutsches Zentrum für Lungenforschung (DZL).
7
Charité - Universitätsmedizin Berlin, Klinik für Pädiatrie m.S. Pneumologie und Immunologie, Berlin.
8
Abteilung für Infektionsepidemiologie, Fachgebiet für respiratorisch übertragbare Erkrankungen des Robert Koch-Instituts (RKI), Berlin.
9
Institut für Medizinische Mikrobiologie, Immunologie und Hygiene (IMMIH), Uniklinik Köln.
10
Labor Dr. Wisplinghoff, Köln.
11
Klinische Infektiologie, Medizinische Klinik, Forschungszentrum Borstel.
12
Deutsches Zentrum für Infektionsforschung (DZIF), Klinische Tuberkuloseeinheit (ClinTB), Borstel.
13
International Health/Infectious Diseases, Universität zu Lübeck.
14
Department of Medicine, Karolinska Institute, Stockholm, Schweden.
15
Universitätsklinikum Hamburg-Eppendorf, Hamburg.
16
MVZ PneumoCare, Berlin.
17
Landeshauptstadt Stuttgart, Gesundheitsamt.
18
MVZ Labor Dr. Limbach, Heidelberg.
19
2. Lungeninterne Abteilung, Otto Wagner Spital, Wien, Österreich.
20
Departement Innere Medizin, Klinik für Pneumologie, Kantonsspital St. Gallen, Schweiz.
21
Charité - Universitätsmedizin Berlin, Institut für Klinische Pharmakologie und Toxikologie, Berlin.

Abstract

in English, German

Since 2015 a significant increase in tuberculosis cases is notified in Germany, mostly due to rising numbers of migrants connected to the recent refugee crisis. Because of the low incidence in previous years, knowledge on tuberculosis is more and more limited to specialized centers. However, lung specialist and healthcare workers of other fields have contact to an increasing number of tuberculosis patients. In this situation, guidance for the management of standard therapy and especially for uncommon situations will be essential. This new guideline on tuberculosis in adults gives recommendations on diagnosis, treatment, prevention and prophylaxis. It provides a comprehensive overview over the current knowledge, adapted to the specific situation in Germany. The German Central Committee against Tuberculosis (DZK e. V.) realized this guideline on behalf of the German Respiratory Society (DGP). A specific guideline for tuberculosis in the pediatrics field will be published separately. Compared to the former recommendations of the year 2012, microbiological diagnostics and therapeutic drug management were given own sections. Chapters about the treatment of drug-resistant tuberculosis, tuberculosis in people living with HIV and pharmacological management were extended. This revised guideline aims to be a useful tool for practitioners and other health care providers to deal with the recent challenges of tuberculosis treatment in Germany.

PMID:
28651293
DOI:
10.1055/s-0043-105954

Conflict of interest statement

Interessenkonflikt: Siehe Interessenkonflikterklärung auf www.awmf.org

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