Screening for active tuberculosis: methodological challenges in implementation and evaluation

被引：26
|
作者：
Golub, J. E.
Dowdy, D. W.
机构：
[1] Johns Hopkins Univ, Sch Med, Ctr TB Res, Baltimore, MD 21231 USA
[2] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA
来源：
INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE | 2013年 / 17卷 / 07期
关键词：
tuberculosis; epidemiology; diagnostic techniques and procedures; SMEAR-POSITIVE TUBERCULOSIS; COST-EFFECTIVENESS; TREATMENT OUTCOMES; UNDIAGNOSED TUBERCULOSIS; SOCIOECONOMIC-STATUS; HIV-INFECTION; RISK-FACTORS; PREVALENCE; TRANSMISSION; COMMUNITY;
D O I：
10.5588/ijtld.13.0059
中图分类号：
R51 [传染病];
学科分类号：
100401 ;
摘要：
As active screening strategies for tuberculosis (TB) continue to rise globally, it has become increasingly important to consider the methodological challenges in designing and implementing these strategies. The key challenges associated with TB screening can be summarized in terms of four continua or spectra, namely those of 1) TB disease and diagnostic yield, 2) TB risk and resource availability, 3) TB screening strategies, and 4) outcomes and impact measurements of screening programs. In this review, we provide a discussion of these challenges to help guide development of TB screening strategies that will be effective in a given epidemiological setting.
引用
收藏
页码：856 / 865
页数：10
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