结核病与肺部健康杂志 ›› 2018, Vol. 7 ›› Issue (3): 167-170.doi: 10.3969/j.issn.2095-3755.2018.03.004

• 专家论坛 • 上一篇    下一篇

整合基本公共卫生服务项目加强老年肺结核的主动筛查

许婕1,陈志华1,张灿有2,成君2,†††()   

  1. 1. 225001 江苏省扬州市疾病预防控制中心慢性传染病防制科
    2. 中国疾病预防控制中心结核病预防控制中心重点人群防治部
  • 收稿日期:2018-08-06 出版日期:2018-09-30 发布日期:2018-10-16
  • 通信作者: 成君 E-mail:chengjun@chinacdc.cn
  • 基金资助:
    中美新发和再发传染病项目结核病子项目(2016-06-03)

Strengthening active screening for elderly tuberculosis by integrating it into National Basic Public Health Service Project

Jie XU1,Zhi-hua CHEN1,Can-you ZHANG2,Jun CHENG2,†††()   

  1. 1. Department of Chronic Infectious Disease, Yangzhou Center for Disease Control and Prevention, Yangzhou 225001, China
  • Received:2018-08-06 Online:2018-09-30 Published:2018-10-16
  • Contact: Jun CHENG E-mail:chengjun@chinacdc.cn

摘要:

老年人是肺结核感染的高危人群,但发现率低下。作者从老年肺结核低发现率等特点入手探讨开展主动筛查的必要性,回顾总结国内外既往和当前开展主动筛查的方式方法,寻求符合成本-效益的主动筛查方式,认为整合老年健康体检的基本公共卫生服务项目、积极开展老年结核病筛查工作,是符合少投入多产出的主动筛查方式;并总结整合工作所需条件及可能存在的问题,为今后开展相关工作提供参考。

关键词: 结核, 肺, 老年人, 多相筛查, 老年人保健服务, 公共卫生工作, 综述文献(主题)

Abstract:

Elderly people are at high risk of tuberculosis (TB) infection, but they are at low rate of finding. The authors aimed to discuss the necessity of active TB case finding among elderly people targetting to improve the low discovery rate, by reviewing the past and current methods for active screening at home and abroad, and seeking a cost-effective way of active TB case finding. Based on the review, the authors believed that integrating health examination for the aged into the basic public health service project, is an cost-effective method for carrying out active TB screening.Authors also summarize the necessary conditions and possible challenge to provide references for future related work.

Key words: Tuberculosis, pulmonary, Aged, Multiphasic screening, Health services for the aged, Public health practice, Review literature as topic