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儿童结核病:临床医生和医疗服务提供者基于证据的最佳实践综述

Pediatric Tuberculosis: A Review of Evidence-Based Best Practices for Clinicians and Health Care Providers.

作者信息

Moore Brittany K, Graham Stephen M, Nandakumar Subhadra, Doyle Joshua, Maloney Susan A

机构信息

Division of Global HIV and Tuberculosis, U.S. Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.

Centre for International Child Health, Department of Pediatrics, University of Melbourne, Melbourne 3052, Australia.

出版信息

Pathogens. 2024 Jun 1;13(6):467. doi: 10.3390/pathogens13060467.

Abstract

Advances in pediatric TB care are promising, the result of decades of advocacy, operational and clinical trials research, and political will by national and local TB programs in high-burden countries. However, implementation challenges remain in linking policy to practice and scaling up innovations for prevention, diagnosis, and treatment of TB in children, especially in resource-limited settings. There is both need and opportunity to strengthen clinician confidence in making a TB diagnosis and managing the various manifestations of TB in children, which can facilitate the translation of evidence to action and expand access to new tools and strategies to address TB in this population. This review aims to summarize existing guidance and best practices for clinicians and health care providers in low-resource, TB-endemic settings and identify resources with more detailed and actionable information for decision-making along the clinical cascade to prevent, find, and cure TB in children.

摘要

儿科结核病护理方面的进展前景乐观,这是数十年来倡导、运营和临床试验研究以及高负担国家的国家和地方结核病项目的政治意愿所取得的成果。然而,在将政策转化为实践以及扩大针对儿童结核病预防、诊断和治疗的创新措施推广方面,实施挑战依然存在,尤其是在资源有限的环境中。增强临床医生对儿童结核病进行诊断和管理各种表现的信心既必要又有机会,这有助于将证据转化为行动,并扩大获得新工具和策略的机会,以应对该人群中的结核病问题。本综述旨在总结资源匮乏、结核病流行地区临床医生和医疗服务提供者的现有指南和最佳实践,并确定在临床过程中为预防、发现和治愈儿童结核病进行决策时可提供更详细且可操作信息的资源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bafb/11206390/33e83ecaf984/pathogens-13-00467-g001.jpg

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