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| Comment: Healthcare workers and TB-HIV collaborative practices (2) |
2008-05-22 15:55:00 <STOP-TB> |
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Comment: Healthcare workers and TB-HIV collaborative practices (2)
Samuel Pecho, Peru
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[Mods note: a response to a comment posted at http://eforums.healthdev.org/read/messages?id=21605 by Dr Rakesh Bharti. How can health providers from different fields best communicate and ocllaborate in TB and TB/HIV care? Please send your thoughts. Thanks.]
Dear members,
As Dr. Rakesh says, is very important to create a multidisciplinary group of attention of our TB-HIV or HIV-TB patients (as the specialist prefer); we as pulmonologist need to know all about the antiretroviral therapy, interaction, schemes, first line, second line therapy, etc. We must know what our colleaugues think about the continuation phases of treatment, the initiation of HAART in comorbility TB-HIV, etc. In my hospital, most of the pulmonologist do not prefer to treat co-infection patiens, so, much of them are only seem by the infectologist, as we know two different opinion are important because we can complementary our Knowledge and the only beneficiary of this, is the patient.
In peru we have two differents guidelines of management for the same patients. The first is the TB patients whit HIV (pulmonologist) and the second is the HIV patients whit TB (infectologist); in the nexts weeks we will joint effort to make the first guideline of management whit the collaborative of both pulmonologist and infectologist for the HIV-TB patients as one.
Regards,
Samuel Pecho
Pulmonologist
Rebagliati Hospital, Social Security
Former Members of TB-MDR unit
Peru
samuelps40890@hotmail.com
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