中国防痨杂志2017,Vol.39Issue(7):765-769,5.DOI:10.3969/j.issn.1000-6621.2017.07.020
免疫受损人群的潜伏性结核感染筛查和预防性治疗
Detection and preventive treatment of latent tuberculosis infection in immunocompromised patients
摘要
Abstract
The latent tuberculosis infection (LTBI) detection and preventive treatment in the immunocompromised patients is one of the key challenges of tuberculosis (TB) control.Immunocompromised patients,including the patients with human immunodeficiency virus (HIV) infection,the patients with immune-mediated inflammatory diseases,the transplant candidates and recipients,are especially susceptible to TB.A targeted detection of LTBI in these high-risk groups is a precondition for providing the preventive treatment of TB.The performance of the two immunodiagnostic tests (interferon-gamma release assay and tuberculin skin test) is highly variable among different immunocompromised groups,so the selection of an appropriate screening strategy is very important.Preventive treatment of LTBI can reduce the risk of TB development,but the treatment regimens and the time of treatment can be different among different categories of compromised patients,and further researches are needed.关键词
免疫减弱宿主/免疫缺陷综合征/潜伏性结核病/多相筛查/预防和防护用药/综述Key words
Immunocompromised host/Immunologic deficiency syndromes/Latent tuberculosis/Multiphasic screening/Protective agents/Review引用本文复制引用
阮巧玲,黄希田,刘雪峰,蔡丽敏,邵凌云,张文宏..免疫受损人群的潜伏性结核感染筛查和预防性治疗[J].中国防痨杂志,2017,39(7):765-769,5.基金项目
“十三五”国家科技重大专项(2017ZX10201302-004) (2017ZX10201302-004)