Better treatment of XDR tuberculosis needed in South Africa - Author's reply

摘要

We agree entirely that the focus of the South African Department of Health and other stakeholders attempting to achieve tuberculosis control should be directed towards early diagnosis and rapid initiation of effective treatment for all drug-resistant cases, including those with extensively drug-resistant (XDR) tuberculosis. Our objective was not to preferentially emphasise or detract from any particular aspect of tuberculosis control. Clearly, control of drug-resistant tuberculosis requires a multifaceted approach addressing socioeconomic factors, education, preventive strategies, early and rapid diagnosis, initiation of effective treatment, and social and sex-based issues, amongst others.