综合医疗机构肺结核早期发现临床实践指南

doi:10.19982/j.issn.1000-6621.20230428

摘要/Abstract

摘要：

肺结核诊断延迟不仅造成患者个体的疾病进展和治疗困难,而且在群体层面导致结核病的持续传播。作为肺结核患者主要的首诊场所,综合医疗机构肺结核的早期发现对于实现“终止结核病流行”策略目标具有重要意义。国家呼吸内科医疗质量控制中心、中华医学会结核病学分会、中国防痨协会结核病控制专业分会、中日友好医院共同组织专家,在借鉴世界卫生组织相关指南的基础上,补充国内外相关研究证据,结合我国结核病防治实践,制定了《综合医疗机构肺结核早期发现临床实践指南》。《指南》系统总结了肺结核诊断技术的特点,提出了在综合医疗机构就诊的不同目标人群的肺结核筛查路径,为全国各级综合医疗机构进一步完善和优化肺结核早期发现提供循证证据和临床实践指引。

关键词: 结核,肺, 医院,综合, 早期诊断, 总结性报告(主题)

Abstract:

The diagnosis delay of pulmonary tuberculosis not only results in aggravation and treatment challenges for patients but also leads to the continuously group spreading of tuberculosis. Early detection in general medical facilities, the main primary diagnosis healthcare contact for pulmonary tuberculosis patients, plays a crucial role in achieving the goal of “End tuberculosis strategy”. The National Center of Medical Quality Control for Respiratory Diseases, Tuberculosis Branch of Chinese Medical Association, Tuberculosis Control Branch of Chinese Antituberculosis Association, and China-Japan Friendship Hospital jointly organized experts to formulate the Clinical practice guidelines for early detection of pulmonary tuberculosis in general medical facilities based on the results of China’s tuberculosis prevention practice and the relevant guidelines of the World Health Organization and supplement relevant research evidence at home and abroad. The guideline systematically summarizes the characteristics of different diagnostic techniques for pulmonary tuberculosis and proposes tuberculosis screening strategies for different target populations seeking treatment in comprehensive medical institutions, providing evidence for improving and optimizing early detection of pulmonary tuberculosis in national and regional comprehensive medical institutions.

Key words: Tuberculosis, pulmonary, Hospitals, general, Early diagnosis, Consensus development conferences as topic

中图分类号:

R521

国家呼吸内科医疗质量控制中心, 中华医学会结核病学分会, 中国防痨协会结核病控制专业分会, 中日友好医院. 综合医疗机构肺结核早期发现临床实践指南[J]. 结核与肺部疾病杂志, 2024, 5(1): 1-14. doi: 10.19982/j.issn.1000-6621.20230428

National Center of Medical Quality Control for Respiratory Diseases , Tuberculosis Branch of Chinese Medical Association , Tuberculosis Control Branch of Chinese Antituberculosis Association , China⁃Japan Friendship Hospital . Clinical practice guidelines for early detection of pulmonary tuberculosis in general medical facilities[J]. Journal of Tuberculosis and Lung Disease, 2024, 5(1): 1-14. doi: 10.19982/j.issn.1000-6621.20230428

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