Vallejo J G, Starke J R
Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA.
Semin Respir Infect. 1996 Sep;11(3):184-95.
After decades of decline, tuberculosis case rates are increasing again in the United States. Primarily because of increases in tuberculosis among persons of child-bearing years and diminished performance by some health departments, substantial increases in reported cases of tuberculosis in children have occurred since 1985. Although the clinical/radiographic presentation of intrathoracic tuberculosis in children has not changed significantly, major changes have occurred in the treatment of tuberculous disease over the past decade. This article will review the current epidemiology, diagnosis, and treatment of childhood tuberculosis.
经过数十年的下降后，美国的结核病发病率再度上升。主要由于育龄人群中结核病发病率上升以及一些卫生部门工作不力，自1985年以来儿童结核病报告病例大幅增加。尽管儿童胸内结核病的临床/影像学表现没有显著变化，但在过去十年中结核病的治疗发生了重大变化。本文将综述儿童结核病的当前流行病学、诊断和治疗情况。
