Griffith D E
Center for Pulmonary Infectious Disease Control, University of Texas Health Center, Tyler, USA.
Infect Dis Clin North Am. 1998 Sep;12(3):593-611. doi: 10.1016/s0891-5520(05)70200-2.
As the result of a formidable effort, the recent TB epidemic in the United States has abated; however, major questions remain as the risk of TB diminishes. Will we maintain an adequate public health effort not only to prevent another resurgence of TB but also to renew our pursuit of TB elimination? Do we have the will to extend the fight against TB worldwide as the TB threat in the United States declines? What is the best way to incorporate new diagnostic technology into routine practice? What are the best strategies for preventing and treating TB in AIDS patients? From the standpoint of NTM lung diseases, the major challenges are to educate clinicians about the variety and clinical presentation of NTM lung pathogens in order to recognize NTM lung disease as early as possible and to maximize treatment options. Hopefully, we can also improve upon the recent unprecedented progress in treatment regimens for NTM diseases of all types.
经过巨大努力，美国近期的结核病疫情已得到缓解；然而，随着结核病风险降低，重大问题依然存在。我们是否会保持足够的公共卫生努力，不仅是为了防止结核病再次卷土重来，也是为了重新致力于消除结核病？在美国结核病威胁下降的情况下，我们是否有意愿在全球范围内扩大结核病防治工作？将新的诊断技术纳入常规实践的最佳方法是什么？在艾滋病患者中预防和治疗结核病的最佳策略是什么？从非结核分枝杆菌肺病的角度来看，主要挑战是让临床医生了解非结核分枝杆菌肺部病原体的种类和临床表现，以便尽早识别非结核分枝杆菌肺病并最大化治疗选择。希望我们还能在各类非结核分枝杆菌疾病治疗方案最近取得的前所未有的进展基础上更进一步。
