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首页> 外文期刊>The European respiratory journal : >Old ideas to innovate tuberculosis control: Preventive treatment to achieve elimination
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Old ideas to innovate tuberculosis control: Preventive treatment to achieve elimination

机译:创新结核病控制的旧观念:预防性治疗以消除结核病

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The introduction of new rapid diagnostic tools for tuberculosis (TB) and the promising TB drugs pipeline together with the development of a new World Health Organization Strategy post 2015 allows new discussions on how to direct TB control. The European Respiratory Society's European Forum for TB Innovation was created to stimulate discussion on how to best take advantage of old and new opportunities, and advances, to improve TB control and eventually progress towards the elimination of TB. While TB control is aimed at reducing the incidence of TB by early diagnosis and treatment of infectious cases of TB, TB elimination requires focus on sterilising the pool of latently infected individuals, from which future TB cases would be generated. This manuscript describes the three core components that are necessary to implement the elimination strategy fully. 1) Improve diagnosis of latent TB infected individuals. 2) Improve regimens to treat latent TB infection. 3) ensure public health commitment to make both 1) and 2) possible. Old and new evidence is critically described, focusing on the European commitment to reach elimination and on the innovative experiences and best practices available.
机译:新的结核病快速诊断工具和有前途的结核病药物管道的引入,以及新的《 2015年后世界卫生组织战略》的制定,使得有关如何指导结核病控制的新讨论成为可能。创建了欧洲呼吸学会的欧洲结核病创新论坛,以激发人们就如何最好地利用新旧机遇和进步来改进结核病控制并最终在消除结核病方面取得进展的讨论。结核病控制旨在通过早期诊断和治疗结核病感染病例来减少结核病的发生,而结核病的消除则需要侧重于对潜伏感染者进行绝育,从而从中产生未来的结核病病例。该手稿描述了充分实施消除策略所必需的三个核心要素。 1)改善对潜伏性结核感染者的诊断。 2)改善治疗潜伏性结核感染的方案。 3)确保公共卫生承诺,使1)和2)成为可能。批判性地描述了新旧证据,重点是欧洲致力于消除污染的承诺以及现有的创新经验和最佳做法。

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