儿童结核病多药耐药性的趋势和挑战
Zengfang Zhuang1,2, Lin Sun3, Xiaorui Song4
1Chinese Academy of Sciences (CAS) Key Laboratory of Pathogen Microbiology and Immunology, Institute of Microbiology, Chinese Academy of Sciences, Beijing, China.
Frontiers in cellular and infection microbiology
|June 19, 2023
概括
儿童耐药结核病 (DR-TB) 是一个日益严重的全球健康问题. 紧急需要改善儿童DR-TB的诊断和治疗选择,包括新的药物和生物标志物.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 儿童结核病 (TB) 和耐药结核病 (DR-TB) 构成了全球重大卫生挑战.
- 准确诊断和有效治疗儿童DR-TB是复杂和不断发展的领域.
- 目前针对儿科DR-TB的诊断工具和治疗方案存在显著的局限性.
研究的目的:
- 审查当前儿童结核病和耐药结核病的流行病学.
- 讨论儿科DR-TB的诊断和治疗挑战.
- 强调需要在诊断和治疗方面取得进展.
主要方法:
- 关于儿童结核病和DR-TB的综合文献综述.
- 流行病学数据的分析 (流行率,发病率,死亡率).
- 总结诊断,治疗和监测方面的挑战.
主要成果:
- 儿童DR-TB是一个日益关注的复杂的诊断和治疗障碍.
- 现有的诊断工具对于儿科患者来说是有限的.
- 目前的治疗选择面临挑战,包括不良影响和长时间的持续时间.
结论:
- 迫切需要改善儿童DR-TB的诊断策略和新的治疗方案.
- 对新药,药物组合和生物标志物的进一步研究是必不可少的.
- 诊断和治疗方面的进步对于有效打击儿科DR-TB至关重要.
相关概念视频
Pulmonary Tuberculosis V
214
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...
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...
214
Development of Antibiotic Resistance
48
Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
48
Pulmonary Tuberculosis I
287
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...
287
Pulmonary Tuberculosis II
281
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...
281
Antibiotic Selection
54.8K
Overview
54.8K
Pulmonary Tuberculosis IV
175
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...
175


