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Infectionsinthecommunitycausedbymulti-drugresistantpathogensFrancescoBlasiDepartmentofPathophysiologyandTransplantation
UniversityofMilanItaly
MeetingtheChallengeofAntimicrobialResistance(AMR)andRespiratoryInfections
CurrentStatusTypeofInfectionTuberculosisMDR-XDRstrains,fewnewdrugsavailableGrampositivesNofurtherincreaseinresistance,newdrugsavailableGramnegativesDramaticincreaseinresistance,lackofdrugdevelopmentFungalinfectionRoleofaspergillusinfectioninimmunocompetentpatientsunclearViralinfectionIncreasingdetectionrateduetonewPCRtechnologyClinicalimportanceunclear
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5CausesofMDRPatientmismanagement
OutcomesofMDR-TBtreatmentForMDR-TBpatientsstartedontreatmentin2008*0%20%40%60%80%100%Kazakhstan(2268)Turkey(263)Uzbekistan(294)Ecuador(210)Georgia(417)DemocraticRepublicoftheCongo(202)Philippines(520)Namibia(221)RussianFederation(1537)Brazil(444)Kyrgyzstan(262)RepublicofMoldova(522)SouthAfrica(4383)Romania(816)SuccessDiedFailedDefaultedNotevaluated*Incountriesreportingoutcomesfor200MDR-TBcaseswith20%unevaluated(cohortsizeshownbelowcountrynames)
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Consilium:whatitisWHOrecommendation:M/XDR-TBcasesmanagedbyspecializedteam,includingcomplementarymedicalprofessionalsabletocoverseveralperspectives(clinical,bothforadultsandchildren;surgical;radiological;publichealth;psychological;nursing,etc.)
TheideaCreateaERS-managedwebplatformtoallowaEuropeanclinician,freecost,toloadpt’sdataandreceivein1wsuggestionsby2expertsonhowtomanageadifficult-totreat-TBcaseincollaborationwithWHO(MoU)andECDC
ThepotentialityTobecomeTHEworlde-serviceTosupportfollow-upofTBpatientswithEurope
Theseactionhavebeendefinedbasedthereviewingprocess:Descriptionoftheplatform(1)
Descriptionoftheplatform(2)Theplatformworksonadashboardbase:
Accordingtoitsrole(Director,AreaC
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