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免疫受损人群的潜伏性结核感染筛查和预防性治疗

阮巧玲 黄希田 刘雪峰 蔡丽敏 邵凌云 张文宏

中国防痨杂志2017,Vol.39Issue(7):765-769,5.
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

阮巧玲 1黄希田 2刘雪峰 2蔡丽敏 2邵凌云 1张文宏1

作者信息

  • 1. 200040 上海,复旦大学附属华山医院感染科
  • 2. 温岭市第一人民医院感染科
  • 折叠

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)

中国防痨杂志

OACSTPCD

1000-6621

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