Tuberculosis surveillance in Gironde is carried out through a network that has gradually taken shape over the past fifteen years. The goal was to improve the completeness of mandatory tuberculosis reporting, which was estimated at 49% in 1990. Collecting data in addition to that from mandatory reporting became necessary to meet the needs of various partners, such as tracking treatment outcomes, which began in 1995. The proportion of mandatory reports among reported cases has improved: 65% as of 1995, nearly 90% in 2008. The incidence rate, at 5.9 per 100,000 inhabitants in 2008, remains below the national average. Cases are predominantly concentrated in Bordeaux and its metropolitan area. In 1995, direct microscopy was positive in 56% of pulmonary tuberculosis cases, compared to 45% in 2008 (p=0.15). The frequency of HIV co-infections decreased from 19.5% in 1995 to 5.5% in 2008 (p=0.049). From 2003 to 2008, 8 cases of multidrug resistance were reported. A treatment outcome form was completed for nearly 94% of cases in 2008. The partnership established by the network represents a major asset for pooling resources in the fight against tuberculosis and maintaining a high level of diagnosis and follow-up. The terms for its long-term sustainability remain to be defined. (R.A.)