大人の潜伏性結核感染症のスクリーニング:米国予防サービスタスクフォースの勧告声明
, Kirsten Bibbins-Domingo1, David C Grossman2
1University of California, San Francisco.
JAMA
|September 7, 2016
まとめ
潜伏結核感染 (LTBI) のスクリーニングは,リスクが高い個人に推奨されます. LTBIの治療は,有効な結核の予防に適度な効果をもたらし,有害性は最小限です.
科学分野:
- 公衆衛生
- 予防 医療
- 感染症 疫学
背景:
- 結核はアメリカでは 予防可能な大きな病気です
- 潜伏性結核感染 (LTBI) を特定し,治療することは,結核の伝播,病気,死亡を減らすための鍵です.
- LTBIから活性結核への進行を防ぐことは,公衆衛生の主要な目標です.
研究 の 目的:
- LTBIのスクリーニングに関する米国予防サービスタスクフォース (USPSTF) の最新の勧告を提供すること.
- LTBIのスクリーニングに関する現在のガイドラインについて,初等医療の実践に情報を提供すること.
主な方法:
- 主治医療における無症状成人のLTBIスクリーニングに関する証拠の体系的なレビュー.
- 最古のデータベースからの証拠を含める.
主要な成果:
- LTBIの正確なスクリーニングテストがあります.
- LTBIの治療は,病気の進行を防ぐのに適度な効果がある.
- LTBIのスクリーニングと治療に関連する害は小さいと考えられています.
結論:
- USPSTFは,リスクが高いと特定された集団でLTBIのスクリーニングを推奨しています.
- この推薦は"B"の推薦として指定され,中程度の純利益の高い確実性を示しています.
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