Otto-Knapp R, Knappik M, Häcker B, Starzacher K, Bauer T, Lange C, Maurer F P, Schaberg T, Günther G
Deutsches Zentralkomitee zur Bekämpfung der Tuberkulose e. V. (DZK), Berlin.
Klinik Penzing, Abteilung für Atemwegs- und Lungenkrankheiten, Wien.
Pneumologie. 2020 Nov;74(11):742-749. doi: 10.1055/a-1266-5207. Epub 2020 Nov 17.
The increasing evidence has made it necessary to change international recommendations for the diagnosis and treatment of resistant tuberculosis repeatedly in the recent years. This year, the WHO has published comprehensive recommendations that take into account these developments. The current German tuberculosis guideline was published in 2017 with differing recommendations in some areas. Here the new WHO recommendations of 2020 for rapid diagnosis and therapy of resistant tuberculosis are summarized and the relevant differences are commented for Germany, Austria and Switzerland. A complete re-evaluation of the literature is currently taking place by updating the German-language AWMF 2k guidelines.
近年来,越来越多的证据表明有必要多次更改耐药结核病诊断和治疗的国际建议。今年,世界卫生组织(WHO)发布了综合建议,其中考虑了这些进展。现行的德国结核病指南于2017年发布,在某些领域有不同建议。在此总结了WHO 2020年关于耐药结核病快速诊断和治疗的新建议,并针对德国、奥地利和瑞士的相关差异进行了评论。目前正在通过更新德语版的AWMF 2k指南对文献进行全面重新评估。