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Martina VasakovaEmilia KopeckaJitka Soukupova
Thomayer University Hospital Prague
Tuberculosis in the Czech Republic.MDR- TB Unit of the Czech Republic in
Thomayer University Hospital
Tuberculosis in the Czech RepublicCzech Republic belongs to low incidence countriesGood policy against TB spread from the beginning
of 20th century-Masaryk´s league against TBAfter the 2nd World War active policy against
tuberculosis enhanced by development of new drugs against M. tuberculosis
Active screening for new cases of tuberculosis- chest X-rays, investigation of contacts
From 2000 starts active screening for LTBI- begins in healthcare workers- Thomayer University Hospital and Faculty Hospital Bulovka
Experience in TB eradication, state pollicy against TB spread
TB incidence in some European states- The countries adjoining European Union after 2004
0
20
40
60
80
100
120
140
160
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
TB cases / 100,000
Romania
Lithuania
Latvia
Bulgaria
Estonia
Poland
Hungary
Slovakia
Slovenia
Czech Rep
Malta
Cyprus
*
Thomayer University HospitalModern developing hospital offering highly
specialized health care50.000 patients a year- one of the largest
health institutions in the Czech RepublicFounded in 1954 Fully equipped hospital with major surgical
and internal departments1984, after 30 years of its existence
accepted amongst the University hospitals
Thomayer University HospitalProvides care mainly to patients from PragueUrgent and special cases from the whole of
central Bohemia- heliport33 focused departments covering all current
medical areasAccent on traumatology (especially in children),
oncology, respiratory diseases and pediatric care Holder of the international certificate BABY
FRIENDLY HOSPITALUniversity hospital – education of young
physicians and nurses
Department of Respiratory Diseases Respiratory care for patients from part of Prague and Central Bohemia,
but in special cases for the whole Czech Republic Allergology and Clinial Immunology specialised care and consulting for
the whole Czech Republic Teaching base of the 1st Medical School of Charles University and
Thomayer University 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 alpha 1 antitrypsin deficiency for the Czech Republic Projects and grants- COPD, IPF, asthma, A1-AT deficiency, LTBI
MDR TB Unit Within the department for tuberculosis Multidrug-Resistant tuberculosis Unit recognised by
Ministry of Health from 2007 Serves for all MDR-TB patients diagnosed in the Czech
Republic- for Czechs, but also other nations, mainly immigrants
Development of the Microbiological department- widening the spectrum of molecular diagnostic methods for quick diagnosis of tuberculosis, including drug- susceptibility tests and quick diagnosis of drug resistance
Grants and projects- -TB-NET- pan-European project on MDR-TB- - Norway Funds- Prevention of TB spread in the Czech
Republic- TB of lungs and also urogenital system
MDR-TB in the Czech Republic
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
MDR TB in the Czech Republic
Year MDR TB (No of persons)
No of persons with resistance to H,S,E,R
2000 23 12
2001 32 11
2002 23 8
2003 13 7
2004 19 11
2005 17 12
2006 18 14
2007 14 10
2008 12 6
MDR- TB in Thomayer University Hospital
Year MDR TB Total No of patients
NationalitiesCzech Former
USSRVietnam Poland Mongoli
a
2000 2 1 12001 16 15 12002 14 9 4 12003 9 3 3 2 12004 6 3 32005 3 2 12006 3 1 22007 7 4 32008 9 4 2 1 22009 7 1 2 1 3
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
Thank you for your kind attention