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TUESDAY 25 OC<strong>TO</strong>BER 2016<br />

POST-GRADUATE COURSES<br />

All post-graduate courses are eligible for accreditation.<br />

POST-GRADUATE COURSE 01 3 11:00 - 17:30 3 SESSION ROOM 11C<br />

UPDATE ON CLINICAL AND PROGRAMMATIC MANAGEMENT OF MDR- AND XDR-TB<br />

Section: Tuberculosis<br />

Multidrug-resistant TB (MDR-TB) and extensively drug-resistant TB (XDR-TB) pose a significant threat to TB control ; providing challenges to clinicians<br />

and programme managers worldwide due to the complexities in diagnosis, treatment, and case management. This course presents cutting-edge<br />

strategies for clinical and programmatic management of MDR-TB for the front-line clinician, nurse, epidemiologist, laboratorian and programme<br />

manager, based on the newly updated WHO guidelines. It will use case-based presentations to illustrate internationally recommended practices to<br />

address the challenges of MDR-TB diagnosis, treatment and care.<br />

How the post-graduate course is related to the conference:<br />

The course is directly related to the theme of the 47th Union World Conference on Lung Health because addressing the problem of MDR- and XDR-TB<br />

will be one of the main challenges as we move forward towards TB control and elimination beyond 2016. Appropriate prevention and management of<br />

MDR/XDR TB will be the key for the future of TB control.<br />

Target audience:<br />

National TB and HIV programme managers, lung health specialists, TB & HIV Clinicians, Epidemiologists, International tuberculosis consultants,<br />

laboratory scientists, microbiologists, promoters and deliverers of community-based health care.<br />

Objectives:<br />

Through a series of illustrative case presentations, to:<br />

1) Present the principles of MDR-TB prevention, diagnosis, treatment and care.<br />

2) Update on recent advances in rapid diagnosis of drug resistance and to discuss how these advances may be applied in the clinical setting<br />

3) Discuss evidence-based management of controversial issues in the treatment of MDR/XDR-TB and MDR-TB/HIV and other special situations<br />

4) Present cutting edge strategies for the treatment and management of MDR/XDR-TB including new drugs and new drug regimens for the<br />

treatment of active disease<br />

5) Introduce programmatic management of MDR-TB in resource-limited settings, especially with a high burden of TB-HIV co-infection, including<br />

ambulatory and community-based initiatives<br />

6) Discuss prevention strategies for MDR/XDR-TB<br />

7) Present the most effective strategies for proper management of adverse reactions to second-line anti-TB drugs<br />

8) Update on the ethics principles to guide the prevention, diagnosis, treatment and care of TB<br />

Coordinator: Sundari Mase (United States of America) – Chair: Ignacio Monedero (Spain)<br />

1) Updated guidelines on molecular tests for the diagnosis of DR-TB – Christopher Gilpin (Switzerland)<br />

2) Implementation of rapid molecular diagnostics for MDR-TB : programmatic perspective - Malik Parmar (India)<br />

3) Designing a treatment regimen for MDR-TB according to new WHO guidelines: presentation of a clinical case – Jose Caminero Luna (Spain)<br />

4) Using new anti-TB drugs in the treatment of MDR-TB – Francis Varaine (France)<br />

5) Treatment regimen for special MDR-TB situations in which new drugs are used: presentation of a clinical case – Barbara Seaworth (United States<br />

of America)<br />

6) Treatment of MDR-TB : HIV coinfection, pregnancy – Jennifer Furin (United States of America)<br />

7) Treatment of MDR-TB : Childhood TB – Simon Schaaf (South Africa)<br />

8) Surgery in management of MDR-TB – Andrei Mariandyshev (Russian Federation)<br />

9) Management of adverse drug reactions: presentation of a clinical case – Michael Rich (United States of America)<br />

10) Patient-centred care to enable treatment adherence to new WHO recommendations – Ernesto Jaramillo (Switzerland)<br />

11) Case presentations – Ignacio Monedero (Spain)<br />

12) Panel: Questions and final remarks<br />

36<br />

CONFRONTING RESISTANCE: FUNDAMENTALS <strong>TO</strong> INNOVATION - THE 47 TH UNION WORLD CONFERENCE ON LUNG HEALTH

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