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17th January 2017
 
New IDSA guidelines on diagnosis of TB in adults and children?
 
A task force supported by the American Thoracic Society (ATS), Centers for Disease Control and Prevention (CDC) and Infectious Diseases Society of America (IDSA) has published new guidelines on the diagnosis of tuberculosis (TB) and latent tuberculosis infection (LTBI) in adults and children.
 
The guidelines published in the January 2017 issue of the Clinical Infectious Diseases journal include 23 evidence-based recommendations about diagnostic testing for latent tuberculosis infection, pulmonary TB and extrapulmonary TB. The six strong recommendations include: 
  • An interferon-γ release assay (IGRA) rather than a tuberculin skin test (TST) should be done in individuals 5 years or older who are likely to be infected with Mtb, who have a low or intermediate risk of disease progression, and in whom it has been decided that testing for LTBI is warranted.
  • Acid-fast bacilli (AFB) smear microscopy is recommended in all patients suspected of having pulmonary TB.
Dr KK Aggarwal
National President IMA and HCFI
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Press Release
There is an urgent need to reduce the incidence of Infant and child mortality in India: IMA
 
In 2015, the under-five mortality rate in India was 48% per 1000 live births
 
New Delhi, Jan 16, 2017: India ranks first among countries with the highest number of child deaths in the world. In 2015, out of the total 5.9 million child deaths globally, 1.2 million i.e. 20% of the world's share, occurred in India. The Millennium Development Goal (MDG)-4 to reduce child mortality had established a target of two-third reduction in under-five mortality by 2015, a mark India has failed to achieve. 
 
There are large inequities in the under-five mortality rates across socio-economic groups and various states of India. This has largely impeded the acceleration in government programs.
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