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解决儿童结核病生物标志物开发研究空白的蓝图。

A Blueprint to Address Research Gaps in the Development of Biomarkers for Pediatric Tuberculosis.

作者信息

Nicol Mark Patrick, Gnanashanmugam Devasena, Browning Renee, Click Eleanor S, Cuevas Luis E, Detjen Anne, Graham Steve M, Levin Michael, Makhene Mamodikoe, Nahid Payam, Perez-Velez Carlos M, Reither Klaus, Song Rinn, Spiegel Hans M L, Worrell Carol, Zar Heather J, Walzl Gerhard

机构信息

Division of Medical Microbiology and Institute for Infectious Diseases and Molecular Medicine, University of Cape Town and National Health Laboratory Service of South Africa.

National Institute of Allergy and Infectious Diseases, Bethesda, Maryland.

出版信息

Clin Infect Dis. 2015 Oct 15;61Suppl 3(Suppl 3):S164-72. doi: 10.1093/cid/civ613.

Abstract

Childhood tuberculosis contributes significantly to the global tuberculosis disease burden but remains challenging to diagnose due to inadequate methods of pathogen detection in paucibacillary pediatric samples and lack of a child-specific host biomarker to identify disease. Accurately diagnosing tuberculosis in children is required to improve case detection, surveillance, healthcare delivery, and effective advocacy. In May 2014, the National Institutes of Health convened a workshop including researchers in the field to delineate priorities to address this research gap. This blueprint describes the consensus from the workshop, identifies critical research steps to advance this field, and aims to catalyze efforts toward harmonization and collaboration in this area.

摘要

儿童结核病在全球结核病疾病负担中占相当大的比重,但由于在少菌型儿科样本中病原体检测方法不足以及缺乏用于识别疾病的儿童特异性宿主生物标志物,其诊断仍然具有挑战性。准确诊断儿童结核病对于改善病例发现、监测、医疗服务提供及有效宣传至关重要。2014年5月,美国国立卫生研究院召开了一次研讨会,与会人员包括该领域的研究人员,以明确解决这一研究差距的优先事项。本蓝图描述了研讨会上达成的共识,确定了推动该领域发展的关键研究步骤,旨在促进该领域的协调与合作。

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