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结核病的公共卫生问题:治疗监督

Public health aspects of tuberculosis: supervision of therapy.

作者信息

Sbarbaro J A

出版信息

Clin Chest Med. 1980 May;1(2):253-63.

PMID:7028374
Abstract

The public health objectives of tuberculosis control are to interrupt and to prevent transmission of tubercle bacilli and therapy ultimately eradicate tuberculosis. The methods used in tuberculosis control are "surveillance" and "containment." 56 Surveillance includes a variety of case-finding efforts, maintenance of tuberculosis registers, and the continued collection of epidemiologic data on frequency of disease and distribution through the community. Containment impose a responsibility on the professional to insure adequate and complete treatment for those individuals capable of spreading disease and preventive treatment for those individuals at high risk of developing contagious disease. Because modern treatment is curative and its administration so easily assured, there is no further need for prolonged follow-up of patients after chemotherapy has been completed.

摘要

结核病控制的公共卫生目标是中断并预防结核杆菌的传播,并最终根除结核病。结核病控制所采用的方法是“监测”和“控制”。监测包括各种病例发现工作、维护结核病登记册,以及持续收集关于疾病发生频率和在社区内分布情况的流行病学数据。控制要求专业人员有责任确保对那些能够传播疾病的个体进行充分和完整的治疗,并对那些有发展为传染病高风险的个体进行预防性治疗。由于现代治疗具有治愈性且给药很容易得到保证,化疗完成后对患者进行长期随访已不再有必要。

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引用本文的文献

1
Screening and treatment of immigrants and refugees to Canada for tuberculosis: Implications of the experience of Canada and other industrialized countries.对加拿大的移民和难民进行结核病筛查与治疗:加拿大及其他工业化国家经验的启示
Can J Infect Dis. 1995 Sep;6(5):246-55. doi: 10.1155/1995/271936.
2
Directly observed therapy (DOT) for tuberculosis: why, when, how and if?结核病的直接观察治疗(DOT):为何、何时、如何以及是否采用?
Thorax. 1999 Aug;54 Suppl 2(Suppl 2):S42-5. doi: 10.1136/thx.54.2008.s42.
3
The dual epidemics of tuberculosis and AIDS: ethical and policy issues in screening and treatment.
结核病与艾滋病双重疫情:筛查与治疗中的伦理及政策问题
Am J Public Health. 1993 May;83(5):649-54. doi: 10.2105/ajph.83.5.649.
4
Management of tuberculosis in urban homeless indigents.城市无家可归贫困者的结核病管理
Public Health Rep. 1986 Sep-Oct;101(5):481-5.