Tuberculosis in pregnancy.
Anti-tuberculous drugs
Diagnostic tests
EPTB
HIV
Pregnancy
Tuberculosis
Journal
Best practice & research. Clinical obstetrics & gynaecology
ISSN: 1532-1932
Titre abrégé: Best Pract Res Clin Obstet Gynaecol
Pays: Netherlands
ID NLM: 101121582
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
01
06
2022
revised:
07
07
2022
accepted:
14
07
2022
pubmed:
25
8
2022
medline:
15
12
2022
entrez:
24
8
2022
Statut:
ppublish
Résumé
Due to COVID-19 pandemic, the latest progress of the End Tuberculosis (TB) Strategy was far from optimal and services for TB needs to be quickly restored. Pregnancy is a unique opportunity to screen and manage TB, and it is an essential step in TB eradication. Early diagnosis and treatment for active disease can reduce maternal and neonatal morbidities and mortality. The more widespread utilization of newer rapid molecular assays with drug-susceptibility testing has significantly shortened the diagnostic process for active TB disease. First-line anti-TB drugs are proven to be safe in pregnancy. Management of latent TB infection (LTBI) during pregnancy is controversial, but puerperium is a period of increased susceptibility to progress to active disease. Extrapulmonary TB (EPTB), multidrug-resistant TB (MDR-TB) and HIV co-infection remain significant issues surrounding TB management during pregnancy and often require input from a multidisciplinary team including TB experts.
Identifiants
pubmed: 36002371
pii: S1521-6934(22)00104-3
doi: 10.1016/j.bpobgyn.2022.07.006
pmc: PMC9339097
pii:
doi:
Substances chimiques
Antitubercular Agents
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
34-44Informations de copyright
Copyright © 2022. Published by Elsevier Ltd.
Déclaration de conflit d'intérêts
Declaration of competing interest The authors declare no conflict of interest.
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