Paul George, Al-Maani Amal S, Kurup Padmamohan J
Department of Child Health, Royal Hospital, Muscat, Oman;
Sultan Qaboos Univ Med J. 2013 Nov;13(4):477-85. doi: 10.12816/0003305. Epub 2013 Nov 8.
Contact investigation and management form the key for tuberculosis (TB) control in countries with a low tuberculosis incidence. Oman, with a low TB incidence, has implemented contact investigation and management as one important strategy to control TB. However there is a lack of clear guidelines for the investigation and treatment of contacts, especially with regard to children who are contacts of TB cases. The failure to manage children in contact with infectious TB cases indicates a missed opportunity to prevent TB disease in a population which is prone to progress rapidly to severe and complicated illness. This article attempts to provide a concise and practical approach for managing infants and children who are in contact with TB patients. Essential steps in a variety of possible scenarios are briefly discussed.
接触者调查与管理是结核病低发病率国家结核病控制的关键。阿曼结核病发病率较低，已将接触者调查与管理作为控制结核病的一项重要策略。然而，对于接触者的调查和治疗缺乏明确的指导方针，尤其是对于结核病病例接触儿童。未能对感染性结核病病例的接触儿童进行管理，意味着错失了在一个易于迅速发展为严重和复杂疾病的人群中预防结核病的机会。本文试图为管理结核病患者的接触婴幼儿和儿童提供一种简洁实用的方法。简要讨论了各种可能情况下的基本步骤。
