世界卫生组织(WHO)于4月19日首次发布世界卫生组织标准:普及结核病快速诊断,在此标准中制定了12项基准以实现普及WHO推荐的快速诊断技术(WRD),提升细菌学证实的结核病比例和耐药性检测,并缩短诊断时间。WHO推荐的快速诊断方法准确性高、具有良好的成本效益、缩短开始治疗的时间,并能影响患者的预后。
The WHO standard: Universal access to rapid tuberculosis diagnostics sets benchmarks to achieve universal access to WHO-recommended rapid diagnostics (WRDs), increase bacteriologically confirmed tuberculosis and drug resistance detection, and reduce the time to diagnosis. WHO-recommended rapid diagnostics are highly accurate, cost-effective, reduce the time to treatment initiation, and impact patient-important outcomes.
The WHO Standard comprises twelve benchmarks to be computed by countries in the four steps of the diagnostic cascade: identifying presumptive tuberculosis, accessing testing, being tested, and receiving a diagnosis. Mapping of enablers, approaches, and solutions to scale up the use of WRDs is provided to assist countries in meeting the standard and related benchmarks. Specific investment considerations are also provided, as well as two country case studies providing real-world examples of implementation Universal access to tuberculosis diagnostics will result in better health for all and reduce the unacceptably high mortality due to this curable and preventable disease. It will require investment and concerted work by countries, partners, donors and civil society.
图:WHO标准-普及诊断过程中4个环节的12项基准构成的快速结核病诊断
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