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BMC Med. 2017 Dec 20;15(1):219. doi: 10.1186/s12916-017-0992-4.

Bringing patient-centered tuberculosis diagnosis into the light of day.

Author information

1
Department of Epidemiology of Microbial Diseases, Yale School of Public Health, 60 College Street, Room 620, New Haven, Connecticut, 06520-8034, USA. lucian.davis@yale.edu.
2
Pulmonary, Critical Care, and Sleep Medicine Section, Yale School of Medicine, New Haven, Connecticut, USA. lucian.davis@yale.edu.

Abstract

In 2015, the WHO End TB Strategy laid out ambitious goals to dramatically reduce tuberculosis (TB) deaths, incidence, and catastrophic costs through research, bold new strategies, and patient-centered care. In this commentary, recent evidence on sputum collection strategies for smear microscopy is reviewed, and the argument is made that redesigning smear microscopy as a patient-centered service offers the only realistic and widely available strategy to advance TB diagnostic care towards the initial End TB Strategy goals laid out for 2025. Finally, the successful adoption of same-day sputum smear microscopy as a model for patient-centered TB care is suggested to be synergistic with and to form part of the scale-up of new TB diagnostic tools.Please see related article: https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-017-0947-9.

KEYWORDS:

Diagnosis; Fluorescence microscopy; Patient-centered care; Prognosis; Tuberculosis

PMID:
29258526
PMCID:
PMC5738029
DOI:
10.1186/s12916-017-0992-4
[Indexed for MEDLINE]
Free PMC Article

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