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抗藥性結核病治療新趨勢

The New Trend of Clinical Management of Multidrug-Resistant and Extensively Drug- Resistant Tuberculosis

摘要


全球的多重抗藥性結核病(multidrug-resistant tuberculosis, MDR-TB)與廣泛抗藥性結核病(extensively drug-resistant tuberculosis, XDR-TB)迅速蔓延。儘管全球結核病進一步取得了控制,但MDR-TB與XDR-TB患者的疾病負擔和治療結果幾乎沒有變化。2016年,世界衛生組織(World Health Organization, WHO)發布了抗藥性結核病管理新準則,旨在以快速的分子檢測提高檢測率,和以短期治療處方治療抗藥性結核病,使治療效果更好。新藥bedaquiline及delamanid的開發與新的藥物分類也加入抗藥性結核病治療指引,以期達到治療抗藥性結核病成功的結果。

並列摘要


The multidrug-resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB) are spreading worldwide. Although MDR-TB had been controlled, but the disease burden and treatment outcome in patient with MDR-TB had remained virtually unchanged. In 2016, The World Health Organization published a new guideline for drug-resistant tuberculosis treatment. This guideline intended to use rapid molecular tests to improve the detection rate and short-term regimens to treat drug-resistant tuberculosis to achieve a better treatment effect. In order to achieve a successful treatment of drug-resistant tuberculosis, the new drugs developing, bedaquiline and delamanid, and new classifications of anti-TB drugs applicability were included in new guideline for drug-resistant TB treatment.

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