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[儿童新发结核病预防性治疗的差异化方法]

[Differentiated approach to preventive treatment of new cases of tuberculosis in children].

作者信息

Mordovskaia L I, Aksenova V A, Gavril'ev S S, Ivanova A P

出版信息

Probl Tuberk. 2001(2):14-7.

Abstract

The efficiency of various preventive treatment regimens was studied in 330 new cases of childhood tuberculosis by using clinical and laboratory findings and follow-up data. The paper shows it expedient to conduct a comprehensive immunological studies by tuberculin diagnosis and to examine immunity both at the time of infection detection in children and at their follow-ups. Monotherapy by the routine regimen can be performed in low tuberculin-sensitive children without risk factors. Children who have a complex of risk factors need long-term preventive treatment with two tuberculosis controlling agents. When immune responsiveness declines in children, it is necessary to apply pathogenetic agents that possess an immunomodulating effect, which substantially raise the efficiency of preventive treatment.

摘要

通过临床和实验室检查结果以及随访数据,对330例儿童结核病新病例的各种预防性治疗方案的疗效进行了研究。该论文表明,通过结核菌素诊断进行全面的免疫学研究,并在儿童感染检测时及其随访期间检查免疫力是适宜的。常规方案的单一疗法可用于无危险因素的低结核菌素敏感性儿童。有一系列危险因素的儿童需要用两种结核病控制药物进行长期预防性治疗。当儿童免疫反应性下降时,有必要应用具有免疫调节作用的致病因子,这可显著提高预防性治疗的疗效。

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