Saini Varinder, Garg Kranti
Department of Pulmonary Medicine, Government Medical College and Hospital, Sector 32, Chandigarh, India.
Department of Pulmonary Medicine, Government Medical College, Patiala, Punjab, India.
Indian J Tuberc. 2020 Dec;67(4S):S101-S106. doi: 10.1016/j.ijtb.2020.09.029. Epub 2020 Sep 30.
Case finding, an important parameter in fight against Tuberculosis (TB) has always remained a challenge despite advances in diagnostic modalities, access to health care and administrative commitment. We are still far from reaching the goals so set as per End TB Strategy and National Strategic Plan 2017-2025, and case finding is of paramount importance for achieving the said targets. This article, after identifying the obstacles faced in case finding, explores the various case finding strategies in the perspective of diagnostics, feasibility, resource utilization and current recommendations. Need for prioritization of case finding in different settings with involvement and active participation of one and all has been discussed. Role of health education in an individual, general public and health care worker in the context of case finding has been highlighted. Research areas to strengthen case finding have been enumerated. The review concludes by bringing out the need for heightened efforts for case finding in TB as the resources are significantly diverted as the world is facing the corona virus disease 2019 (COVID-19) pandemic.
病例发现是抗击结核病(TB)的一个重要参数,尽管在诊断方式、医疗保健可及性和行政承诺方面取得了进展,但它一直是一个挑战。我们距离《终止结核病战略》和《2017-2025年国家战略计划》所设定的目标仍有很大差距,而病例发现对于实现上述目标至关重要。本文在确定病例发现面临的障碍后,从诊断、可行性、资源利用和当前建议的角度探讨了各种病例发现策略。讨论了在不同环境中进行病例发现优先级排序的必要性,以及所有人的参与和积极投入。强调了健康教育在病例发现背景下对个人、普通公众和医护人员的作用。列举了加强病例发现的研究领域。综述最后指出,由于世界正面临2019冠状病毒病(COVID-19)大流行,资源被大幅转移,因此需要加大结核病病例发现的力度。