Management of adverse events in TB care and active TB drug safety monitoring.

Tuberculosis (TB) remains the leading cause of death from a single infectious agent, with 10.8 million cases reported in 2023. While treatment is generally effective, both drug-susceptible (DS-TB) and drugresistant TB (DR-TB) regimens are associated with adverse events (AEs) that compromise adherenc...

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Publicado en:Breathe Vol. 22; no. 1; pp. 1 - 11
Autores principales: Ma'aruf, Shamsuddeen Yusuf, Sharma, Aparna, Fox, Shannon, Duarte, Raquel, Lange, Christoph, Tiberi, Simon
Formato: tables/charts Journal Article
Publicado: European Respiratory Society Jan2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2026
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      pub: European Respiratory Society
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        atl: Management of adverse events in TB care and active TB drug safety monitoring.
      aug:
        au:
          Ma'aruf, Shamsuddeen Yusuf
          Sharma, Aparna
          Fox, Shannon
          Duarte, Raquel
          Lange, Christoph
          Tiberi, Simon
        affil: Department of Medical Laboratory Science, Faculty of Allied Health Science, Kaduna State University, Kaduna, Nigeria
      sug:
        subj:
          Adverse Health Care Event
          Tuberculosis
          Drug Monitoring
          Patient Safety
          Physician Attitudes
          Hepatotoxicity
          Arthralgia
          Optic Neuritis
          Muscle Pain
          Linezolid
          Machine Learning
          Biological Markers
          Pharmacovigilance
          Algorithms
          Digital Health
          Diffusion of Innovation
          Patient Centered Care
          Manuscripts
          World Health Organization
          Pharmacogenetics
      ab: Tuberculosis (TB) remains the leading cause of death from a single infectious agent, with 10.8 million cases reported in 2023. While treatment is generally effective, both drug-susceptible (DS-TB) and drugresistant TB (DR-TB) regimens are associated with adverse events (AEs) that compromise adherence and outcomes. In this viewpoint, we highlight the most clinically relevant AEs: hepatotoxicity, cutaneous reactions and ocular toxicity in DS-TB; and linezolid-associated neuropathy, myelosuppression, QT prolongation and hepatotoxicity in DR-TB. We argue that structured safety monitoring and integration of active TB Drug Safety Monitoring and Management into routine care are critical to improving patient safety. Looking ahead, pharmacogenomics, therapeutic drug monitoring, predictive algorithms and digital health solutions offer opportunities to move from reactive to proactive AE management. By prioritising monitoring, innovation and patient-centred approaches, TB programmes can reduce the burden of AEs, improve adherence and achieve better outcomes.
      pubtype: Academic Journal
      doctype:
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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