扩大干预措施以实现全球结核病控制:进展和新进展
Mario Raviglione1, Ben Marais, Katherine Floyd
1STOP TB Department, WHO, Geneva, Switzerland.
Lancet (London, England)
|May 22, 2012
概括
全球结核病控制工作正在取得进展,接近千年发展目标,但艾滋病毒/结核病协作和耐药性等挑战仍然存在. 持续投资和多学科方法对于消除结核病至关重要.
科学领域:
- 全球健康 全球健康
- 传染性疾病 传染性疾病
- 公共卫生政策 公共卫生政策
背景情况:
- 结核病 (TB) 仍然是全球死亡的一个重要原因.
- 之前的审查强调了控制努力和挑战.
- 在实现2015年目标方面取得了进展,非洲是例外.
研究的目的:
- 审查全球结核病控制工作最近的进展情况.
- 确定结核病控制中的持续挑战和新出现的威胁.
- 强调需要更新战略和持续承诺.
主要方法:
- 审查最近的全球结核病控制数据和举措.
- 分析实现千年发展目标和停止结核病伙伴关系目标的进展情况.
- 评估包括结核病/艾滋病协作,耐药性和非传染性疾病影响在内的挑战.
主要成果:
- 大多数地区都在实现2015年结核病发病率和死亡率减少目标的轨道上,除了非洲.
- 在扩大结核病和艾滋病毒协作活动方面仍然存在挑战.
- 新出现的耐药结核病构成了重大威胁.
- 新的诊断测试和有前途的药物正在变得可用.
- 非传染性疾病和恶劣的生活条件增加了脆弱性.
结论:
- 实现国际结核病控制目标需要最佳的国家卫生政策和服务.
- 对新方法和战略的持续投资至关重要.
- 财务不确定性和缺口会使最近的收益面临风险.
- 坚持和重新承诺对于控制和消除结核病至关重要.
相关概念视频
Pulmonary Tuberculosis V
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the progression...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the progression...
Pulmonary Tuberculosis IV
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Pulmonary Tuberculosis III
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
Pulmonary Tuberculosis I
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Pulmonary Tuberculosis II
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Transmission-based Precautions II: Airborne and Protective Environment
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...


