[Recommendations for contact tracing for tuberculosis - update 2023]. / Empfehlungen für die Umgebungsuntersuchungen bei Tuberkulose Update 2023.
Pneumologie
; 77(9): 607-631, 2023 Sep.
Article
en De
| MEDLINE
| ID: mdl-37536363
ABSTRACT
The aim of contact tracing for tuberculosis is in addition to active case finding the detection of chains of infection and the prevention of the further spread of the disease. In this context, a careful selection of contact persons is necessary, depending on the type and duration of contact, to identify persons who are recently infected and therefore to increase the benefit of a preventive therapy and to avoid unnecessary testing of persons who are not at risk of infection. Since the last update of the recommendations on contact tracing, data on the use of interferon-y release assays (IGRAs) in children has been improved markedly. These are the preferred test in contact tracing of adults. For children, both IGRAs and the tuberculin skin test can be used equivalently. Rifampicin for 4 months, rifampicin and isoniazid for 3 months, or isoniazid for 9 months are recommended as preventive therapy in cases of confirmed infection.The implementation of the contact tracing in different age groups as well as legal framework conditions and socio-medical aspects and challenges are dealt with in detail. In addition, special cases, such as environmental screening in day-care centers, schools, or other community facilities, are discussed separately.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Tuberculosis
/
Isoniazida
Tipo de estudio:
Diagnostic_studies
/
Guideline
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Prognostic_studies
Límite:
Adult
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Child
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Humans
Idioma:
De
Revista:
Pneumologie
Año:
2023
Tipo del documento:
Article