Challenges and controversies in childhood tuberculosis

Challenges and controversies in childhood tuberculosis
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DOI:
10.1016/s0140-6736(19)32045-8
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发表时间:
2019-09-14
期刊:
影响因子:
168.9
通讯作者:
Furin, Jennifer
Furin, Jennifer
中科院分区:
医学1区
文献类型:
--
作者:
Reuter, Anja;Hughes, Jennifer;Furin, Jennifer

文献摘要

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儿童在结核病方面承受着巨大的痛苦。具有讽刺意味的是,他们往往被排除在过去十年中导致结核病诊断,治疗和预防重要改进的科学和公共卫生进步之外。本系列论文描述了儿科结核病的一些挑战和争议,包括儿童结核病的流行病学和治疗。两个领域中存在的重大挑战和争议(即诊断和预防)进行了更详细的探讨。该系列文件还提出了将儿童纳入消除结核病的所有努力的可能解决方案,重点是确保适当的财政和人力资源到位,以最好地为接触、感染和患有各种形式结核病的儿童提供服务。
Children bear a substantial burden of suffering when it comes to tuberculosis. Ironically, they are often left out of the scientific and public health advances that have led to important improvements in tuberculosis diagnosis, treatment, and prevention over the past decade. This Series paper describes some of the challenges and controversies in paediatric tuberculosis, including the epidemiology and treatment of tuberculosis in children. Two areas in which substantial challenges and controversies exist (ie, diagnosis and prevention) are explored in more detail. This Series paper also offers possible solutions for including children in all efforts to end tuberculosis, with a focus on ensuring that the proper financial and human resources are in place to best serve children exposed to, infected with, and sick from all forms of tuberculosis.