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Quality Improvement

BTS MDR-TB Clinical Advice Service

The MDR-TB Clinical Advice Service provides advice and support to clinicians across the UK who encounter multidrug-resistant tuberculosis (MDR-TB). The advice is offered by a multidisciplinary panel of Clinical Service Advisers, with expertise in areas such as respiratory medicine, infectious diseases, microbiology, pharmacy and public health. The advice is provided via a secure online case discussion forum and at monthly MDT meetings which are held via Teams.

If you are an NHS professional and would like to observe the case discussions at an MDT, please mdrtb@brit-thoracic.org.uk.

If you are a clinician who would like to make use of this service, please register for an account:

BTS MDR-TB Clinical Advice Service

Please find a Quick Start Guide for clinicians and other useful resources:

Quick Start Guide to the CAS for clinicians

MDR-TB CAS Sheet A - Patient Demographics

MDR-TB CAS Sheet B - Clinical Information

MDR-TB CAS Sheet C - Follow up

For more information on the data being collected and patient consent forms, please see below:

Fair Processing Information & Welsh Language version

MDR-TB Patient Information Consent Form & Welsh Language version

MDR-TB Parent / Guardian Information Consent Form & Welsh Language version

MDR-TB Patients Unable to Consent Information Form & Welsh Language version

Educational Resources and Webinars

MDR-TB Clinical Simulated Case Discussion 2025

Date: Tuesday 21 October 2025

Following the success of the first MDR-TB Clinical Advice Service webinar (2024) we repeated the offer, in October 2025, with new case content. The free webinar presented a simulation of one of the virtual MDTs that run each month as part of the BTS MDR-TB Clinical Advice Service.

Three fictional cases, two adult and one paediatric, were discussed, and topics covered included:

  • MDR-TB treatment principles and drug toxicity management
  • MDR-TB new regimens for treatment
  • MDR-TB with End Stage Renal Failure (ESRF)
  • MDR-TB in children
  • MDR-TB Public Health concerns
  • Other complex TB

Watch a recording of this webinar here: MDR-TB Clinical Simulated Case Discussion 2025

You may wish to review current WHO guidelines on tuberculosis treatment and care on the and a link to the World Health Organisation website.


For further information or queries, please mdrtb@brit-thoracic.org.uk