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社论:世界卫生组织(WHO)关于耐多药和药物敏感结核病全球治疗建议的最新情况。

Editorial: Updates from the World Health Organization (WHO) on Global Treatment Recommendations for Drug-Susceptible and Multidrug-Resistant Tuberculosis.

机构信息

Science Editor, Medical Science Monitor, International Scientific Information, Inc., Melville, NY, USA.

出版信息

Med Sci Monit. 2021 Aug 9;27:e934292. doi: 10.12659/MSM.934292.

Abstract

The World Health Organization (WHO) estimated that in 2019, 10.0 million people worldwide developed tuberculosis (TB), with 1.4 million deaths from TB in that year. Infection with Mycobacterium tuberculosis that is resistant to at least isoniazid and rifampin and an additional chemotherapeutic agent is known as multidrug-resistant TB (MDR TB). Until recently, the prevalence of drug resistance in patients with TB has been poorly understood due to a lack of infection surveillance and molecular testing. Countries with the highest prevalence of TB, including MDR TB, are also those most affected by the COVID-19 pandemic. The identification of MDR TB requires careful monitoring and resources for molecular testing. Previous treatment regimens have required intravenous treatments of long duration and high cost. The 2020 and 2021 recommendations from the WHO for the management of drug-susceptible TB and MDR TB have included oral treatment regimens and reduced treatment duration. This Editorial aims to present the rationale for the 2020 and 2021 recommendations from the WHO for the management of drug-susceptible TB and MDR TB.

摘要

世界卫生组织(WHO)估计,2019 年全球有 1000 万人患有结核病(TB),当年有 140 万人死于结核病。对至少异烟肼和利福平以及另一种化疗药物耐药的结核分枝杆菌感染称为耐多药结核病(MDR-TB)。由于缺乏感染监测和分子检测,直到最近,人们对结核病患者的耐药性流行情况还了解甚少。结核病和 MDR-TB 流行率最高的国家也是受 COVID-19 大流行影响最严重的国家。确定 MDR-TB 需要仔细监测和分子检测资源。以前的治疗方案需要长期静脉治疗,费用高昂。世界卫生组织 2020 年和 2021 年对耐多药结核病和耐多药结核病管理的建议包括口服治疗方案和缩短治疗时间。本社论旨在介绍 2020 年和 2021 年世界卫生组织对耐多药结核病和耐多药结核病管理建议的基本原理。

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