0:00
My name is Martin Boeree.
I'm an associate professor in
respiratory medicine at the Radboud
University Nijmegan Medical
Center and at the TB
Referral Hospital Dekkerswald
in Nijmegen, the Netherlands.
I'm going to talk
about the management
of multi-drug
resistant and extensive
drug resistant tuberculosis.
0:21
I'm working in Dekkerswald.
Dekkerswald is an old
tuberculosis sanatorium
which was raised in 1911.
0:31
Sanitoria were a tradition
deriving from the time
before the drugs
against tuberculosis.
In Holland, they were divided
by religious background.
And you can clearly see this on
the facade with the Catholic cross.
0:46
This slide shows an
outline of my presentation.
I will talk about management of
multi-drug resistant and extensive
drug resistant tuberculosis.
I will start with an
introduction, then briefly talk
about the epidemiology of
multi-drug resistant tuberculosis,
and then continue with management.
I will specifically go
into the drug treatment,
both current treatment
and future treatment.
I will now start with
the introduction.
1:14
Management of tuberculosis
before the era of drug treatment
was done in specially
dedicated sanitoria.
The first one opened
in 1855 in Gorbersdorf
in Germany in the current
Poland called Sokolowsko.
It contained rest, a good
diet, a regular day and night
rhythm, and healthy air and sunlight.
It was done with love,
tender, and care.
Sometimes surgery like
artificial pneumothorax
was performed to give
rest to the lung.
