Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and Prevention Clinical Practice Guidelines: Diagnosis of Tuberculosis in Adults and Children

被引：30

作者：

Lewinsohn, David M. ^{[1
]}

Leonard, Michael K. ^{[2
]}

LoBue, Philip A. ^{[3
]}

Cohn, David L. ^{[4
]}

Daley, Charles L. ^{[5
,6
]}

Desmond, Ed ^{[7
]}

Keane, Joseph ^{[8
]}

Lewinsohn, Deborah A. ^{[1
]}

Loeffler, Ann M. ^{[9
]}

Mazurek, Gerald H. ^{[3
]}

O'Brien, Richard J. ^{[10
]}

Pai, Madhukar ^{[11
,12
]}

Richeldi, Luca ^{[13
]}

Salfinger, Max ^{[5
]}

Shinnick, Thomas M. ^{[3
]}

Sterling, Timothy R. ^{[14
]}

Warshauer, David M. ^{[15
]}

Woods, Gail L. ^{[16
]}

机构：

[1] Oregon Hlth & Sci Univ, Portland, OR 97201 USA

[2] Emory Univ, Sch Med, Atlanta, GA 30322 USA

[3] Ctr Dis Control & Prevent, Atlanta, GA USA

[4] Denver Publ Hlth Dept, Denver, CO USA

[5] Natl Jewish Hlth, Denver, CO USA

[6] Univ Colorado Denver, Denver, CO USA

[7] Calif Dept Publ Hlth, Richmond, CA USA

[8] St James Hosp, Dublin, Ireland

[9] Francis J Curry Int TB Ctr, San Francisco, CA USA

[10] Fdn Innovat New Diagnost, Geneva, Switzerland

[11] McGill Univ, Montreal, PQ, Canada

[12] McGill Int TB Ctr, Montreal, PQ, Canada

[13] Univ Southampton, Southampton SO9 5NH, Hants, England

[14] Vanderbilt Univ, Sch Med, Vanderbilt Inst Global Hlth, Nashville, TN 37212 USA

[15] Wisconsin State Lab Hyg, Madison, WI USA

[16] Univ Arkansas Med Sci, Little Rock, AR 72205 USA

来源：

CLINICAL INFECTIOUS DISEASES | 2017年 / 64卷 / 02期

关键词：

D O I：

10.1093/cid/ciw778

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Background. Individuals infected with Mycobacterium tuberculosis (Mtb) may develop symptoms and signs of disease (tuberculosis disease) or may have no clinical evidence of disease (latent tuberculosis infection [LTBI]). Tuberculosis disease is a leading cause of infectious disease morbidity and mortality worldwide, yet many questions related to its diagnosis remain. Methods. A task force supported by the American Thoracic Society, Centers for Disease Control and Prevention, and Infectious Diseases Society of America searched, selected, and synthesized relevant evidence. The evidence was then used as the basis for recommendations about the diagnosis of tuberculosis disease and LTBI in adults and children. The recommendations were formulated, written, and graded using the Grading, Recommendations, Assessment, Development and Evaluation (GRADE) approach. Results. Twenty-three evidence-based recommendations about diagnostic testing for latent tuberculosis infection, pulmonary tuberculosis, and extrapulmonary tuberculosis are provided. Six of the recommendations are strong, whereas the remaining 17 are conditional. Conclusions. These guidelines are not intended to impose a standard of care. They provide the basis for rational decisions in the diagnosis of tuberculosis in the context of the existing evidence. No guidelines can take into account all of the often compelling unique individual clinical circumstances.

引用

页码：111 / 115

页数：5

共 242 条

[1] GASTRIC LAVAGE IS BETTER THAN BRONCHOALVEOLAR LAVAGE FOR ISOLATION OF MYCOBACTERIUM-TUBERCULOSIS IN CHILDHOOD PULMONARY TUBERCULOSIS [J].