耐药结核病流行现状及防控对策  

Epidemic situation and control strategy of drug-resistant tuberculosis

作　　者：沈欣[1] 宋沈超[1] 雷世光[2] 

机构地区：[1]贵州医科大学公共卫生学院,贵州贵阳550004 [2]贵州省疾病预防控制中心,贵州贵阳550004

出　　处：《职业与健康》2017年第4期566-568,572,共4页Occupation and Health

摘　　要：我国结核病疫情严重,是全球结核病高负担国家之一。结核病控制尤其是耐多药结核病和广泛耐药结核病控制形势不容乐观。耐药结核病已成为威胁人类健康的公共卫生问题。对结核病的早期诊断、规范治疗是控制耐药结核病流行的有效措施。实验室检查是诊断耐药结核病的重要手段。提高结核病的治疗效果,研发新的抗结核药物能有效遏制结核病流行。应不断采用结核病诊断治疗新技术。建立有效的耐药结核病防治体系,加强对耐药结核病的监测,能进一步控制结核病的发生和发展。作者从耐药结核病的定义和分类、流行情况、诊治情况和防控对策4个方面进行综述。China is a country with a high burden of tuberculosis（TB）in the world,and the epidemic situation of TB is serious. The situation of TB control in China is not optimistic,especially the multi-drug resistant tuberculosis（MDR-TB） and extensive-drug resistant tuberculosis（XDR-TB）control. Drug-resistant tuberculosis（DR-TB）already threatens our health,and become a major public health concern. Early diagnosis,standard treatment are the effective measures to control DR-TB. The laboratory examination is the important approach to DR-TB diagnosis. To improve the efficacy of TB treatment and to develop the new anti-tuberculosis drugs are effective ways to control TB. New technologies should be used to TB diagnosis and treatment. To establish the effective DR-TB prevention and control system,to enhance the DR-TB surveillance,can control the incidence and development of TB. This paper summarizes DR-TB from 4 aspects of definition and classification,prevalence state,diagnosis,control strategy.

关 键 词：耐药结核病 流行 预防控制 

分 类 号：R52[医药卫生—内科学]