Essential Components of a Public Health Tuberculosis Prevention, Control, and Elimination Program: Recommendations of the Advisory Council for the Elimination of Tuberculosis and the National Tuberculosis Controllers Association.

IF 33.7 1区 医学 Q1 Medicine Mmwr Recommendations and Reports Pub Date : 2020-07-31 DOI:10.15585/mmwr.rr6907a1
Barbara Cole, Diana M Nilsen, Lorna Will, Sue C Etkind, Marcos Burgos, Terence Chorba
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引用次数: 24

Abstract

This report provides an introduction and reference tool for tuberculosis (TB) controllers regarding the essential components of a public health program to prevent, control, and eliminate TB. The Advisory Council for the Elimination of Tuberculosis and the National Tuberculosis Controllers Association recommendations in this report update those previously published (Advisory Council for the Elimination of Tuberculosis. Essential components of a tuberculosis prevention and control program. Recommendations of the Advisory Council for the Elimination of Tuberculosis. MMWR Recomm Rep 1995;44[No. RR-11]). The report has been written collaboratively on the basis of experience and expert opinion on approaches to organizing programs engaged in diagnosis, treatment, prevention, and surveillance for TB at state and local levels.This report reemphasizes the importance of well-established priority strategies for TB prevention and control: identification of and completion of treatment for persons with active TB disease; finding and screening persons who have had contact with TB patients; and screening, testing, and treatment of other selected persons and populations at high risk for latent TB infection (LTBI) and subsequent active TB disease.Health departments are responsible for public safety and population health. To meet their responsibilities, TB control programs should institute or ensure completion of numerous responsibilities and activities described in this report: preparing and maintaining an overall plan and policy for TB control; maintaining a surveillance system; collecting and analyzing data; participating in program evaluation and research; prioritizing TB control efforts; ensuring access to recommended laboratory and radiology tests; identifying, managing, and treating contacts and other persons at high risk for Mycobacterium tuberculosis infection; managing persons who have TB disease or who are being evaluated for TB disease; providing TB training and education; and collaborating in the coordination of patient care and other TB control activities. Descriptions of CDC-funded resources, tests for evaluation of persons with TB or LTBI, and treatment regimens for LTBI are provided (Supplementary Appendices; https://stacks.cdc.gov/view/cdc/90289).

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公共卫生结核病预防、控制和消除计划的基本组成部分:消除结核病咨询委员会和国家结核病控制协会的建议。
本报告就预防、控制和消除结核病的公共卫生规划的基本组成部分为结核病控制者提供了介绍和参考工具。本报告中的消除结核病咨询委员会和国家结核病控制者协会的建议更新了以前发表的建议(消除结核病咨询委员会)。结核病预防和控制规划的基本组成部分。消除结核病咨询委员会的建议。MMWR建议Rep 1995;44[第44号]RR-11])。本报告是根据在州和地方各级组织结核病诊断、治疗、预防和监测规划的方法方面的经验和专家意见共同编写的。本报告再次强调确立结核病预防和控制重点战略的重要性:确定活动性结核病患者并完成治疗;发现和筛查与结核病患者有过接触的人;筛查、检测和治疗潜伏性结核感染(LTBI)和随后的活动性结核病高风险的其他选定人员和人群。卫生部门负责公共安全和人口健康。为履行职责,结核控制规划应制定或确保完成本报告所述的许多职责和活动:编制和维持结核控制的总体计划和政策;维持监测系统;收集和分析数据;参与项目评估和研究;确定结核控制工作的优先次序;确保获得建议的实验室和放射检测;识别、管理和治疗接触者和其他结核分枝杆菌感染高危人群;管理结核病患者或正在接受结核病评估的人;提供结核病培训和教育;合作协调患者护理和其他结核病控制活动。提供了疾病预防控制中心资助的资源、评估结核病或LTBI患者的测试以及LTBI治疗方案的说明(补充附录;https://stacks.cdc.gov/view/cdc/90289)。
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来源期刊
Mmwr Recommendations and Reports
Mmwr Recommendations and Reports PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
36.00
自引率
0.00%
发文量
3
期刊介绍: The MMWR series of publications is published by the Office of Science, Centers for Disease Control and Prevention (CDC), U.S. The MMWR Recommendations and Reports contain in-depth articles that relay policy statements for prevention and treatment in all areas in the CDC’s scope of responsibility (e.g., recommendations from the Advisory Committee on Immunization Practices).
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