非活动性肺结核诊断及预防发病专家共识

Expert consensus on diagnosis and prevention of inactive pulmonary tuberculosis

随着全球结核病防治策略的发展,非活动性肺结核作为结核病发病高风险人群的研究不断深入,一些国家将非活动性肺结核列入结核病高危人群进行预防和治疗管理。中国没有明确非活动性肺结核的诊断程序,对非活动性肺结核发展为活动性肺结核的观察和研究不足,没有将非活动性肺结核纳入结核病高危人群采取干预措施。为了加强对非活动性肺结核的认识,规范非活动性肺结核的诊断方法,制定非活动性肺结核发展成活动性肺结核的防治措施。中国防痨协会组织国内结核病防治、临床、影像学、研究等多领域的专家,撰写了《非活动性肺结核诊断及预防发病专家共识》(简称《共识》)。《共识》提出了非活动性肺结核的定义,诊断依据,分析了非活动性肺结核的发病风险,提出了非活动性肺结核预防发病的措施,为完善全国肺结核高危人群防治策略和疫苗的研究提供参考。

With the development of global tuberculosis prevention and control strategy,continuous and indepth research on screening and prevention of high-risk groups,and inactive pulmonary tuberculosis is as a high-risk group,more and more attention has been paid by the international community.However,diagnosis procedures and requirements of inactive tuberculosis is not clear,research on the development of inactive tuberculosis into active tuberculosis are insufficient,and no intervention measures on inactive tuberculosis have been taken into the high-risk population of tuberculosis in China.To strengthen the understanding to inactive pulmonary tuberculosis,standard the diagnostic method of inactive tuberculosis,formulate the prevention and cure measure of inactive tuberculosis to develop active tuberculosis.Thus,Chinese Antituberculosis Association organized experts in tuberculosis control,clinical,imaging and research fields to write the China’s Expert consensus on diagnosis of inactive pulmonary tuberculosis.This consensus puts forward the definition and diagnosis evidence of inactive tuberculosis,analyzes the risk of the occurrence of inactive tuberculosis,and puts forward the measures to prevent the occurrence of inactive tuberculosis,which provides reference for improving the prevention strategy and vaccine research of the high-risk population of tuberculosis in China.