Hale Y M, Desmond E P, Jost K C, Salfinger M
Bureau of Laboratories, Florida Department of Health, Jacksonville, USA.
Int J Tuberc Lung Dis. 2000 Dec;4(12 Suppl 2):S171-5.
Healthy People 2010, an initiative from the federal government, calls for action from tuberculosis controllers and tuberculosis laboratories in the fight to eliminate tuberculosis. Many patients, such as immunocompromised patients and those infected with multidrug-resistant tuberculosis strains, pose a challenge for care and diagnosis. Fortunately, many changes have occurred in the last decade to facilitate more rapid and accurate testing to assist with the care of these patients. California, Florida, New York and Texas have almost 50% of the tuberculosis cases in the United States, and their public health laboratories utilize different approaches to meet the same goal of rapid and accurate testing of specimens. With the targets of Healthy People 2010 (e.g., to reduce the average time for a laboratory to confirm and report tuberculosis cases to 2 days for 75% of cases) already looming on the horizon, innovative methods for achieving these goals should be evaluated. Using these public health laboratories as models, rapid, gold-standard testing methods should be provided to all patients in the United States. Soon it will be the year 2010..., are you ready to swiftly move forward?
“健康人民2010”是一项联邦政府倡议，呼吁结核病防控人员和结核病实验室采取行动，以消除结核病。许多患者，如免疫功能低下患者和感染耐多药结核菌株的患者，给护理和诊断带来了挑战。幸运的是，在过去十年中发生了许多变化，以促进更快速、准确的检测，从而协助护理这些患者。加利福尼亚州、佛罗里达州、纽约州和得克萨斯州的结核病病例占美国的近50%，其公共卫生实验室采用不同方法来实现对标本进行快速、准确检测的相同目标。随着“健康人民2010”的目标（例如，将实验室确认和报告结核病病例的平均时间缩短至2天，使75%的病例达到这一标准）已近在眼前，应评估实现这些目标的创新方法。以这些公共卫生实验室为榜样，应为美国所有患者提供快速、金标准的检测方法。很快就到2010年了……，你准备好迅速前进了吗？
