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Chest clinic
Audit, research and guideline update
Raising standards in UK TB control: introducing cohort review
  1. Charlotte Anderson1,
  2. Jacqueline White2,
  3. Ibrahim Abubakar3,4,
  4. Marc Lipman2,
  5. Surinder Tamne4,
  6. Sarah R Anderson1,
  7. Jennifer deKoningh2,
  8. Susan Dart2
  1. 1Field Epidemiology Services—Victoria, Public Health England, London, UK
  2. 2North Central London TB Service, Royal Free Hospital NHS Foundation Trust, University College London, London, UK
  3. 3Department of Infection and Population Health, Centre for Infectious Disease Epidemiology, University College London, London, UK
  4. 4Respiratory Diseases Department, Centre for Infectious Disease Surveillance and Control, Public Health England, London, UK
  1. Correspondence to Charlotte Anderson, Field Epidemiology Services—Victoria, Public Health England, 151 Buckingham Palace Road, London SW1W 9SZ, UK; Charlotte.anderson{at}phe.gov.uk

Abstract

Cohort review has been used internationally to support tuberculosis (TB) control. We describe its first use in the UK by a London TB service. Improvements were noted in case management and contact tracing, weaknesses identified and important service changes put in place. Key areas of impact were directly observed therapy (DOT) provision (a greater proportion of cases offered DOT, and in response to low uptake resources diverted to create posts responsible for patient-centred DOT delivery), and contact tracing (more contacts per case screened and assessed). Cohort review enables whole system review and improvement. It has subsequently been adopted across the UK.

  • Tuberculosis

https://doi.org/10.1136/thoraxjnl-2013-203751

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