Forum Recommendations: Tuberculosis

Posted by Daniela Pereira-Lengkeek on 23 November 2009 at 17:51

After reviewing the current state of clinical research on Tuberculosis, the following recommendations for future research were made by the researchers that participated in the scientific sessions:

The following areas still need more research work to be supported in TB:

  • Point-of-care diagnostics (RAPID assays) including sophistication of microscopy-based approaches
  • Active case detection
  • Diagnostic tests that will differentiate between latent and active TB
  • Ways of reducing diagnostic delay

–     Reduce burden of disease

  • Strategies to tackle co-infection with HIV at all levels:

–     Prophylaxis, vaccines, diagnostics and treatment

  • Shortening the  length of treatment

–     Reduce public health burden

–     Reduce drug resistance

–     Improve compliance

  • Bioinformatics approaches
  • Modification of BCG vaccine and investigation of other potential TB vaccines
  • Detection and treatment in children
  • Analysis of development of resistance of for the newer drugs gatifloxacin (GAT) and moxifloxacin (MXF)
  • Ways to further address treatment of extra-pulmonary TB
  • Look into novel drug delivery system to improve bioavailability e.g. nanotechnology
  • Operational research:

–     How can we optimise the use of that we already have?

–     There is need to urgently compare inpatient with outpatient care models including infection control, resistance issues and cost effectiveness.

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