让多学科团队参与诊治伴有结节性红斑的肺结核患者的重要性

O. Mihailov, R. Mihailov, Ciprian Dinu, A. Ciubară
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摘要

结核病(TB)是全球范围内一个重要的热点问题,因此它仍然是公共卫生政策面临的一项挑战。据世界卫生组织(WHO)估计,2018 年全球新增结核病病例约 1000 万例。其中,15 岁以下儿童占 11%。除了这些令人震惊的数据外,结核病每年还导致 13 万儿童死亡,据估计,全球儿童中约有 100 万结核病例,是全球儿童十大死因之一。 世卫组织指出,经济、社会、文化、民族/种族、心理和行为等因素干扰了疾病的发生,这些因素是导致结核病等传染病在人群中持续存在的原因,即使在今天也是如此。许多专门研究加强了社会脆弱性与结核病的出现和在社区中的分布有关的假设。因此,亟需对小儿结核病病例进行更准确的估计,以制定公共政策和分配资源,从而降低儿童结核病的发病率和死亡率。
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The Importance of Involving a Multidisciplinary Team in the Management of a Patient Diagnosed with TB, Associating Erythema Nodosum
Tuberculosis (TB) is an important and topical problem at global level, so it remains a challenge for public health policies . According to the World Health Organization (WHO), in 2018, about 10 million new TB cases worldwide were estimated. Of these, 11% are children under the age of 15. In addition to these alarming data, TB is responsible for 130,000 deaths per year in children and it is estimated that there are approximately 1 million TB-cases in the global population of children, being one of the top 10 causes of death in children worldwide.  According to the WHO, there are economic, social, cultural, ethnic/racial, psychological and behavioral factors that interfere with the occurrence of diseases, and these factors are attributed to the persistence of infectious diseases such as TB in the population, even today. Numerous specialized studies strengthen the hypothesis of associating social vulnerability with TB emergence and distribution in the community. Therefore, the development of more accurate estimates of pediatric TB cases is an urgent need for public policy scheduling and resource allocation and, consequently, for reducing morbidity and mortality from TB among children.     
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