title: [Practical issues in the management of tuberculosis disease].
abstract: BACKGROUND
  Tuberculosis disease warrants standard therapeutic management as detailed in a guide published by the High Authority for Health (HAS) following the publication of the Public Health Law in 2004.
  
  
  METHODS
  The medical services of the régime social des indépendants (RSI) carried out a national survey by targeting patients who, in 2011, were reimbursed for tuberculosis treatment or were admitted for long-term tuberculosis disease. Their physicians were contacted to detail the care pathway and treatment they had received.
  
  
  RESULTS
  A total of 148 tuberculosis disease patients were enrolled, of whom 71.6% had respiratory localization of their disease. The diagnosis was made in healthcare institutions in 84.5% of cases. Standard treatment (phases 1 and 2) was used in 30.1% of cases. The recommended quadruple therapy was given in 55.2% of treatments in phase 1 and in accordance with the time recommended in 62.9% of cases. Phase 2 was the recommended two drugs combination therapy 80.4% of the time with the treatment duration respected in 51.0% of treatments. The difference from standard treatment was explained by the detection of health or social events in only 39.0% of cases.
  
  
  CONCLUSIONS
  This survey allows us to highlight a relative lack of knowledge of standard treatment as recommended by the HAS.
authors: Médecin conseil régional, régime social des indépendants (RSI) Île-de-France, 75847 Paris cedex 17, France. Electronic address: christine.guimond@idfcentre.rsi.fr.
authors: C
authors: C
authors: Guimond
authors: Médecin conseil régional, régime social des indépendants (RSI) Picardie, 80440 Glisy, France.
authors: J-P
authors: JP
authors: Orain
authors: Responsable statistique, régime social des indépendants (RSI) Midi-Pyrénées, 31138 Balma cedex, France.
authors: M
authors: M
authors: Tanguy
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000995:Antitubercular Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D019091:Critical Pathways / Q000592:standards / Q000706:statistics & numerical data; D005260:Female; D005602:France / Q000453:epidemiology; D019983:Guideline Adherence / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000592:standards / Q000706:statistics & numerical data; D059039:Standard of Care; D011795:Surveys and Questionnaires; D014376:Tuberculosis / Q000453:epidemiology / Q000628:therapy*; D055815:Young Adult
chemical_list: D000995:Antitubercular Agents
keywords: Disease management; Gestion des soins aux patients; Patient care management; Prise en charge de la maladie; Process management; Résultat thérapeutique; Treatment outcome; Tuberculose; Tuberculosis; Évaluations de processus de soins de santé