全球儿童结核病防控策略的变迁

摘要

针对儿童结核病的现状,世界卫生组织、各国的卫生部等机构出台了一系列指南和建议,对规范当前儿童结核病的诊断、治疗、预防、管理起到了非常重要的指导作用.儿童结核病的防控是全球结核病控制的重要方面,笔者对世界卫生组织自1991年DOTS策略提出后至今的指南、建议、声明等出版材料中有关儿童结核病的内容进行梳理和总结,其中包括4个指南、10个建议、2个声明、2个手册、2个路线图和1个综述,以了解儿童结核病防控策略的变化,加强儿童结核病的早期诊断、早期治疗,及时解决当前存在的问题,同时也有助于指南方针的普及和推广.%In response to the current situation of pediatric tuberculosis (TB),a series of guidelines and recommendations have been published by World Health Organization (WHO) and Ministry of Health in various countries,which provide important guidance to regulate the diagnosis,treatment,prevention and management of pediatric TB.The management of children with TB is an important aspect of global TB control.The summary of pediatric TB teased from the publications of WHO since DOTS strategy proposed in 1991,including 4 guidelines,10 recommendations,2 statements,2 handbooks,2 roadmaps and 1 review,is useful to understand the changes in the prevention and control strategies for children with TB,promote the early diagnosis and treatment,solve current problems,and facilitate the popularization of the guidelines.