Diabetes mellitus and tuberculosis: programmatic management issues.
Diabetes mellitus and tuberculosis: programmatic management issues.
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DOI：
10.5588/ijtld.15.0069
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发表时间：
2015-08
期刊：
影响因子：
--
通讯作者：
Kapur A
中科院分区：
文献类型：
--
作者：
Harries AD;Kumar AM;Satyanarayana S;Lin Y;Zachariah R;Lönnroth K;Kapur A
2011年8月，世界卫生组织和国际防治结核病和肺病联盟启动了结核病和糖尿病护理和控制合作框架，以指导决策者和执行者防治这两种疾病的流行。已经取得了进展，包括确定如何最好地对这两种疾病进行双向筛查，如何为双重疾病患者提供最佳治疗和护理，以及最合适的监测和评价框架。关键的方案挑战包括：筛查是否应针对所有患者或针对具有高风险特征的患者;在常规环境中诊断结核病和糖尿病的最合适技术;筛查结核病患者糖尿病的最佳时间;如何提供综合、协调的病例管理方法;最后，如何说服非传染性疾病方案采用群组分析办法，最好是利用电子病历进行监测和评价。糖尿病和结核病之间的联系以及实施护理和控制合作框架有可能刺激和加强非传染性疾病护理和预防方案的规模，这可能有助于不仅减少全球糖尿病负担，而且减少全球结核病负担。
In August 2011, the World Health Organization and the International Union Against Tuberculosis and Lung Disease launched the Collaborative Framework for Care and Control of Tuberculosis (TB) and diabetes mellitus (DM) to guide policy makers and implementers in combatting the epidemics of both diseases. Progress has been made, and includes identifying how best to undertake bidirectional screening for both diseases, how to provide optimal treatment and care for patients with dual disease and the most suitable framework for monitoring and evaluation. Key programmatic challenges include the following: whether screening should be directed at all patients or targeted at those with high-risk characteristics; the most suitable technologies for diagnosing TB and diabetes in routine settings; the best time to screen TB patients for DM; how to provide an integrated, coordinated approach to case management; and finally, how to persuade non-communicable disease programmes to adopt a cohort analysis approach, preferably using electronic medical records, for monitoring and evaluation. The link between DM and TB and the implementation of the collaborative framework for care and control have the potential to stimulate and strengthen the scale-up of non-communicable disease care and prevention programmes, which may help in reducing not only the global burden of DM but also the global burden of TB.
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影响因子：
3.7
作者：
Balakrishnan, Shibu;Vijayan, Shibu;Nair, Sreenivas Achuthan
通讯作者：
Nair, Sreenivas Achuthan
影响因子：
1.4
作者：
Naik, B.;Kumar, A. M. V.;Harries, A. D.
通讯作者：
Harries, A. D.
影响因子：
1.4
作者：
Nasa, J. N.;Brostrom, R.;Langidrik, J. R.
通讯作者：
Langidrik, J. R.
影响因子：
1.4
作者：
Khader, A.;Ballout, G.;Seita, A.
通讯作者：
Seita, A.
DOI：
10.2471/blt.10.085738
发表时间：
2011-05-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Restrepo, Blanca I;Camerlin, Aulasa J;Fisher-Hoch, Susan P
通讯作者：
Fisher-Hoch, Susan P