为什么我们应该远离 - 而不是朝着 - 基于症状的术语和结核病政策
Katie D Dale1,2
1Victorian Tuberculosis Program, Royal Melbourne Hospital, at the Peter Doherty Institute for Infection and Immunity, Level 5, 792 Elizabeth St, Melbourne, Victoria, Australia, 3000.
概括
术语"无症状结核病" (aTB) 可能会阻碍结核病 (TB) 控制,因为它会造成混乱,并加强基于症状的查. 专家主张使用准确的术语"结核病"和基于证据的方法.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医学术语 医学术语 医学术语
背景情况:
- 结核病 (TB) 是由Mycobacterium tuberculosis引起的复杂感染,呈现各种形式,包括无症状病例.
- 世界卫生组织 (WHO) 引入了"无症状结核病" (aTB),以强调在查期间没有报告症状的病例.
研究的目的:
- 批判性地评估术语"无症状结核病" (aTB) 的实用性和影响.
- 质疑aTB的引入是否有助于或阻碍着强调aTB的重要性和基于症状的查的局限性的目标.
主要方法:
- 这一观点分析了术语"无症状结核病" (aTB) 的含义.
- 它检查了对"症状报告"的依赖及其可变解释.
- 它评估了结核病的术语划分及其后果.
主要成果:
- 术语aTB依赖于定义不良的"症状报告",导致可变的解释和误解.
- 这可以矛盾地加强基于症状的查,破坏其预期的目的.
- aTB被误解为一种独特的,较轻的疾病,导致对治疗必要性的错误假设.
结论:
- 术语"无症状结核病" (aTB) 可能会阻碍结核病控制工作.
- 该观点呼吁从指南中删除基于症状的查.
- 建议推广基于证据的方法,并保留"结核病"作为所有疾病形式的准确,程序上相关的术语.
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