Prioritizing persons deprived of liberty in global guidelines for tuberculosis preventive treatment

Aditya Narayan, Argita D. Salindri, Salmaan Keshavjee, Monde Muyoyeta, Kavindhran Velen, Zulma V. Rueda, Julio Croda, Salome Charalambous, Alberto L. García-Basteiro, Sheela V. Shenoi, Crhistinne C.M. Gonçalves, Liliane Ferreira da Silva, Lia G. Possuelo, Sarita Aguirre, Gladys Estigarribia, Guillermo Sequera, Louis Grandjean, Lily Telisinghe, Michael E. Herce, Fernanda DockhornFrederick L. Altice, Jason R. Andrews

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2 Citas (Scopus)

Resumen

Persons deprived of liberty (PDLs) are disproportionately impacted by tuberculosis, with high incidence rates and often limited access to diagnostics, treatment, and preventive measures. The World Health Organization (WHO) expanded its recommendations for tuberculosis preventive treatment (TPT) to many high-risk populations, but their guidance does not include PDL, and most low- and middle-income countries do not routinely provide edforthoseusedthroughoutthetext TPT in prisons. :Pleaseverifythatallentriesarecorrectlyabbreviated: Recent studies demonstrate high acceptability and completion rates of short-course TPT regimens in jails and prisons; costs of these regimens have been markedly reduced through international agreements, making this an opportune for further expanding their use. We argue that PDL should be a priority group for TPT in national guidelines and discuss implementation considerations and resource needs for TPT programs in carceral facilities. Scaling access to TPT for PDL is important for reducing disease and transmission in this population; it is also critical to advancing an equitable response to tuberculosis.
Idioma originalInglés
Número de artículoe1004288
PublicaciónPLoS Medicine
Volumen20
N.º10 October
DOI
EstadoPublicada - oct. 2023

Nota bibliográfica

Publisher Copyright:
© 2023 Narayan et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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