制定我国潜伏性结核感染全人群防控策略

加强潜伏性结核感染(latent tuberculosis infection,LTBI)人群的有效管理,是实现结核病防控目标的重要路径之一。目前,我国LTBI管理存在高危人群对结核病发病率贡献率偏低、发病风险特征尚未明确、现有筛查手段普遍存在局限性、预防性服药推广困难等问题。为改善上述现状,笔者提出LTBI全人群防控策略,通过加强全社会健康教育,尤其是国家政策引导及采用适宜在全人群中普及的公共卫生手段,降低疾病对全社会的危害。作为患者管理策略及高危人群策略的重要补充,科学可行的LTBI全人群管理策略,包括充分借助现阶段创新技术手段开展主动筛查、人群监测等措施,对于制定新时代我国结核感染控制规划和政策,逐步实现“终止结核病”战略目标将具有重要意义。

To formulate prevention and control strategy for latent tuberculosis infection population in China

To strengthen the management of latent tuberculosis infection (LTBI) populations is one of the important ways to achieve the goal of tuberculosis (TB) prevention and control. Lower contribution rate of high-risk population in the incidence of TB, unclear risk characteristics, limited screening methods, and difficulty in preventive drug promotion, etc., are the problems of China’s LTBI management. A prevention and control strategy for LTBI population is proposed to improve the situation. We wonder to reduce the harm of TB to the whole society by health education, especially guiding and the adopting suitable public health measures for the whole population by national policy. As an important supplement to the management strategy of patients and high-risk population, scientific and feasible population management strategy of LTBI, including making full use of current innovative technologies to carry out active screening, population monitoring and other measures, in order to formulate TB infection control plans and policies in China, and it is important to gradually achieve the goal of “End TB”.