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Martina Vasakova Emilia Kopecka Jitka Soukupova Thomayer University Hospital Prague

Tuberculosis in the Czech Republic . MDR- TB Unit of the Czech Republic in Thomayer University Hospital. Martina Vasakova Emilia Kopecka Jitka Soukupova Thomayer University Hospital Prague. Tuberculosis in the Czech Republic. Czech Republic belongs to low incidence countries

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Martina Vasakova Emilia Kopecka Jitka Soukupova Thomayer University Hospital Prague

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  1. Tuberculosis in theCzechRepublic.MDR- TB Unit oftheCzechRepublic in Thomayer University Hospital Martina Vasakova Emilia Kopecka Jitka Soukupova Thomayer University Hospital Prague

  2. Tuberculosis in theCzechRepublic • CzechRepublicbelongs to low incidence countries • Goodpolicyagainst TB spreadfromthebeginningof 20th century-Masaryk´s leagueagainst TB • Afterthe 2nd WorldWaractivepolicyagainsttuberculosisenhanced by developmentofnewdrugsagainst M. tuberculosis • Activescreeningfornewcasesoftuberculosis- chest X-rays, investigationofcontacts • From 2000 startsactivescreeningfor LTBI- begins in healthcareworkers- Thomayer University HospitalandFacultyHospital Bulovka • Experience in TB eradication, statepollicyagainst TB spread

  3. TB cases / 100,000 160 Romania Lithuania 140 Latvia 120 Bulgaria 100 Estonia Poland 80 Hungary 60 Slovakia Slovenia 40 Czech Rep 20 Malta Cyprus 0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 TB incidence in some European states- The countries adjoining European Union after 2004 *

  4. Thomayer University Hospital • Modern developing hospital offering highly specialized health care • 50.000 patients a year- one of the largest health institutions in the Czech Republic • Founded in 1954 • Fully equipped hospital with major surgical and internal departments • 1984, after 30 years of its existence accepted amongst the University hospitals

  5. Thomayer University Hospital • Providescare mainly to patients from Prague • Urgentandspecialcases from the whole of central Bohemia- heliport • 33focused departments covering all current medical areas • Accenton traumatology (especially in children), oncology, respiratory diseases and pediatric care • Holder of the international certificate BABY FRIENDLY HOSPITAL • Universityhospital –education ofyoung physicians and nurses

  6. Department ofRespiratoryDiseases • Respiratory care forpatientsfrom part ofPragueandCentral Bohemia, but in specialcasesforthewholeCzechRepublic • AllergologyandClinialImmunologyspecialised care andconsultingforthewholeCzechRepublic • Teaching base of the 1st Medical School of Charles University andThomayerUniversity Hospital • One of the largest departments of the Thomayer University Hospital • 80 beds for acute cases including 5-beds ICU • 35 beds for long-term treatment of tuberculosis patients including multidrug-resistant one • supplied with modern equipment enabling proper and quick diagnosis and treatment of large spectrum of pulmonary diseases. • ambulant care in specialized outpatient ambulances -chronic obstructive lung disease (COPD), idiopathic pulmonary fibrosis and other interstitial lung diseases , with difficult-to-treat asthma, NTM • Center for alpha1 antitrypsin deficiencyfortheCzechRepublic • Projectsandgrants- COPD, IPF, asthma, A1-AT deficiency, LTBI

  7. MDR TB Unit • Within the department for tuberculosis • Multidrug-Resistant tuberculosis Unitrecognised by Ministry of Health from 2007 • Servesfor all MDR-TB patients diagnosed in the Czech Republic-for Czechs, but also other nations, mainly immigrants • Development ofthe Microbiological department-widening the spectrum of molecular diagnostic methods for quick diagnosis of tuberculosis, including drug- susceptibility tests and quick diagnosis of drug resistance • Grantsandprojects- -TB-NET- pan-European project on MDR-TB- - Norway Funds- Preventionof TB spread in theCzechRepublic- TB oflungsandalsourogenitalsystem

  8. MDR-TB in theCzechRepublic • Number of MDR-TB patients in the years 2000-2009 (to the end of September 2009) in the Czech Republic- 67 • 33 foreign immigrants and 34 Czech inhabitants

  9. MDR TB in theCzechRepublic

  10. MDR- TB in Thomayer University Hospital

  11. What do we offer? • We offer the clinical base for investigation of tuberculosis including MDR-TB within the frames of multinational projects. We are well equipped not only for clinical care for the patients but also for the investigation including the basic research

  12. Thankyouforyourkindattention

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