Jeon Doosoo
Department of Internal Medicine, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.
Tuberc Respir Dis (Seoul). 2017 Oct;80(4):336-343. doi: 10.4046/trd.2017.0049. Epub 2017 Sep 1.
Despite progress made in tuberculosis control worldwide, the disease burden and treatment outcome of multidrug-resistant tuberculosis (MDR-TB) patients have remained virtually unchanged. In 2016, the World Health Organization released new guidelines for the management of MDR-TB. The guidelines are intended to improve detection rate and treatment outcome for MDR-TB through novel, rapid molecular testing and shorter treatment regimens. Key changes include the introduction of a new, shorter MDR-TB treatment regimen, a new classification of medicines and updated recommendations for the conventional MDR-TB regimen. This paper will review these key changes and discuss the potential issues with regard to the implementation of these guidelines in South Korea.
尽管全球结核病控制取得了进展,但耐多药结核病(MDR-TB)患者的疾病负担和治疗结果几乎没有变化。2016年,世界卫生组织发布了耐多药结核病管理新指南。这些指南旨在通过新型快速分子检测和更短的治疗方案提高耐多药结核病的检出率和治疗效果。主要变化包括引入新的、更短的耐多药结核病治疗方案、药物新分类以及传统耐多药结核病治疗方案的更新建议。本文将回顾这些主要变化,并讨论在韩国实施这些指南可能存在的问题。