无结核社区建设中的主动筛查策略OA北大核心CSTPCD
Screening strategy in zero tuberculosis community project
主动发现肺结核患者和对结核分枝杆菌潜伏感染者开展预防性治疗是无结核社区建设中的主要措施.基于当地实际情况制定有针对性的筛查策略,可及时发现结核病和亚临床结核病患者,及早圈定可实施预防性干预的结核病发病高风险人群.笔者在回顾世界卫生组织结核病系统筛查和潜伏感染者干预相关指南中的推荐意见,以及国内研究者提出的循证指南的基础上,提出在开展无结核社区建设项目中,应在社区高危人群、重点场所人群和到医疗机构就诊者中开展筛查,并提出了筛查策略和后续分类干预措施.
Active case finding and tuberculosis(TB)preventive treatment are core elements of zero tuberculosis community project,and a feasible screening strategy based on local TB epidemic and practice will be benefit to find out TB patients/subclinical TB patients and high risk populations.Based on reviewing both the World Health Organization guidelines on active case finding and management of latent TB infection and evidence-based guidelines for screening suggested by domestic scholars,authors suggest that high risk populations in community,peoples living or working in key places,and patients visiting hospitals should be screened for TB in zero tuberculosis community project sites.The specific screening strategy for every kind of target population and the following categorical intervention have been provided by the authors.
成君;赵雁林
中国疾病预防控制中心结核病预防控制中心,北京 102206
预防医学
结核筛查社区卫生服务社区
TuberculosisScreeningCommunity health servicesCommunity
《中国防痨杂志》 2024 (006)
605-612 / 8
2428结核病预防控制项目,中美结核控制合作项目 Tuberculosis Control and Prevention Program 2428,China-US TB Control Cooperation Program
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