在移植候选人和接受者的结核病
Pallavi Prasad1, Sourabh Sharma2, Subashri Mohanasundaram3
1Department of Nephrology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, Delhi, India. pallaviprasad1986@gmail.com.
World journal of transplantation
|September 19, 2024
概括
结核病 (TB) 对全球健康构成重大风险,尤其对患有慢性病或接受过脏移植的人来说. 早期查和治疗对于在这个脆弱的患者群体中管理结核病至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染性疾病 传染性疾病
- 移植医学 移植医学
背景情况:
- 结核病 (TB) 是全球主要的传染病死亡原因之一.
- 患有慢性病 (CKD) 和移植患者面临结核病的风险增加.
- 在这种人群中诊断活跃结核病是具有挑战性的,因为症状与其他疾病重叠.
研究的目的:
- 为了突出结核病在CKD和移植患者的风险增加.
- 强调对移植候选人潜伏结核病感染的查和预防的重要性.
- 在这个高风险群体中概述活跃结核病的治疗策略.
主要方法:
- 关于结核病在CKD和脏移植人群中的当前文献的综述.
- 对诊断挑战和查方案的分析.
- 对活跃结核病的治疗方法的评估.
主要成果:
- 慢性病和移植患者不成比例地受到结核病的影响.
- 对于所有移植候选人,建议对潜伏结核病感染进行查和预防.
- 活性结核病需要多种药物治疗,根据功能调整剂量.
结论:
- 积极的查和预防措施对于控制脏病和移植患者的结核病风险至关重要.
- 量身定制的多种药物抗结核疗法,包括对功能进行剂量调整,对于成功治疗这一群体的活跃结核病至关重要.
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