Brigden Grania, Furin Jennifer, Van Gulik Clara, Marais Ben
Medecins Sans Frontieres, Rue de Lausanne 78, P.O Box 116, Geneva, Switzerland.
Expert Rev Anti Infect Ther. 2015 Apr;13(4):451-61. doi: 10.1586/14787210.2015.1015991. Epub 2015 Mar 5.
Children were often the forgotten victims of the global tuberculosis (TB) epidemic, neglected by traditional TB services as well as maternal and child health initiatives. Luckily this is changing with a greater focus on children and the issues regarding their optimal management. A common misconception is that children with TB are always difficult to diagnose and treat. New diagnostic tools are urgently needed, but most children with TB in high-burden settings can be diagnosed with available approaches and treatment outcomes are generally excellent. Increased TB awareness, appropriate training of health care workers and inclusion in integrated management of childhood illness strategies will improve the access and quality of care that children receive. This review highlights what needs to be done to ensure that no child unnecessarily dies from TB and provides a brief overview of new advances in the field.
儿童常常是全球结核病流行中被遗忘的受害者，被传统结核病服务以及母婴健康倡议所忽视。幸运的是，随着对儿童及其最佳管理问题的更多关注，这种情况正在改变。一个常见的误解是，患结核病的儿童总是难以诊断和治疗。迫切需要新的诊断工具，但在高负担环境中，大多数患结核病的儿童可以通过现有方法进行诊断，而且治疗效果通常很好。提高对结核病的认识、对医护人员进行适当培训以及将其纳入儿童疾病综合管理策略，将改善儿童获得护理的机会和护理质量。本综述强调了为确保没有儿童不必要地死于结核病需要做的事情，并简要概述了该领域的新进展。
