Joint T
Thorax. 2000 Nov;55(11):887-901. doi: 10.1136/thorax.55.11.887.
The guidelines on control and prevention of tuberculosis in the United Kingdom have been reviewed and updated.
A subcommittee was appointed by the Joint Tuberculosis Committee (JTC) of the British Thoracic Society to revise the guidelines published in 1994 by the JTC, including representatives of the Royal College of Nursing, Public Health Medicine Environmental Group, and Medical Society for Study of Venereal Diseases. In preparing the revised guidelines the authors took account of new published evidence and graded the strength of evidence for their recommendations. The guidelines have been approved by the JTC and the Standards of Care Committee of the British Thoracic Society.
Tuberculosis services in each district should have staffing and resources to fulfil both the control and prevention recommendations in this document and to ensure adequate treatment monitoring. Notification of tuberculosis is required for surveillance and to initiate contact tracing (where appropriate). The following areas are discussed and recommendations made where appropriate: (1) public health law in relation to tuberculosis; (2) the organisational requirements for tuberculosis services; (3) measures for control of tuberculosis in hospitals, including segregation of patients; (4) the requirements for health care worker protection, including HIV infected health care workers; (5) measures for control of tuberculosis in prisons; (6) protection for other groups with potential exposure to tuberculosis; (7) awareness of the high rates of tuberculosis in the homeless together with local plans for detection and action; (8) detailed advice on contact tracing; (9) contact tracing required for close contacts of bovine tuberculosis; (10) management of tuberculosis in schools; (11) screening of new immigrants and how this should be performed; (12) outbreak contingency investigation; and (13) BCG vaccination and the management of positive reactors found in the schools programme.
英国结核病控制与预防指南已得到审查和更新。
英国胸科学会联合结核病委员会（JTC）任命了一个小组委员会来修订JTC于1994年发布的指南，成员包括皇家护理学院、公共卫生医学环境小组以及性病研究医学协会的代表。在编写修订后的指南时，作者考虑了新发表的证据，并对其建议的证据强度进行了分级。该指南已获JTC和英国胸科学会护理标准委员会批准。
每个地区的结核病服务机构应配备人员和资源，以落实本文件中的控制和预防建议，并确保进行充分的治疗监测。为了进行监测并在适当情况下启动接触者追踪，需要报告结核病病例。文中讨论了以下领域，并在适当情况下提出了建议：（1）与结核病相关的公共卫生法律；（2）结核病服务的组织要求；（3）医院内结核病控制措施，包括患者隔离；（4）医护人员防护要求，包括感染艾滋病毒的医护人员；（5）监狱内结核病控制措施；（6）对其他有潜在结核病接触风险群体的保护；（7）对无家可归者中结核病高发病率的认识以及当地的检测和行动计划；（8）接触者追踪的详细建议；（9）牛结核病密切接触者所需的接触者追踪；（10）学校内结核病管理；（11）新移民筛查及其实施方式；（12）疫情应急调查；以及（13）卡介苗接种和学校项目中发现的阳性反应者的管理。
