mycobacterium tuberculosis (mtb)

结核分枝杆菌 ( MTB )
  • 文章类型: Journal Article
    结核病后肺病(PTLD)在结核病(TB)高负担的地区提出了重大的临床挑战。这篇综述提供了PTLD的全面概述,包括其发病机理,临床表现,诊断方式,管理策略,长期结果,和公共卫生影响。PTLD产生于结核病治疗后的残余肺损伤,其特征是一系列病理变化,包括纤维化,支气管扩张,和空化。临床表现差异很大,从慢性咳嗽和咯血到反复呼吸道感染,这通常是诊断困境。放射成像,肺功能检查,仔细考虑患者病史在诊断中起着关键作用。管理策略涉及药物干预,以减轻症状和预防疾病进展,受到肺损伤程度的影响,合并症,和获得医疗保健。康复计划和手术选择可用于选择的病例。预后受肺损伤程度的影响,合并症,和获得医疗保健。通过结核病控制计划和早期检测的预防工作对于减轻PTLD的负担至关重要。这篇综述强调了理解和解决PTLD的重要性,以减轻其对全球个人和公共卫生系统的影响。
    Post-tuberculosis lung disease (PTLD) poses a significant clinical challenge in regions with a high burden of tuberculosis (TB). This review provides a comprehensive overview of PTLD, encompassing its pathogenesis, clinical manifestations, diagnostic modalities, management strategies, long-term outcomes, and public health implications. PTLD arises from residual lung damage following TB treatment and is characterized by a spectrum of pathological changes, including fibrosis, bronchiectasis, and cavitation. Clinical presentation varies widely, from chronic cough and hemoptysis to recurrent respiratory infections, which are oftentimes a diagnostic dilemma. Radiological imaging, pulmonary function tests, and careful consideration of patient history play pivotal roles in diagnosis. Management strategies involve pharmacological interventions to alleviate symptoms and prevent disease progression, which are influenced by the extent of lung damage, comorbidities, and access to healthcare. Rehabilitation programs and surgical options are available for select cases. Prognosis is influenced by the extent of lung damage, comorbidities, and access to healthcare. Prevention efforts through a TB control program and early detection are crucial in reducing the burden of PTLD. This review stresses the importance of understanding and addressing PTLD to mitigate its impact on individuals and public health systems worldwide.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    结核病(TB)仍然是一个重要的全球健康问题,特别是随着耐多药结核病(MDR-TB)和广泛耐药结核病(XDR-TB)的出现。传统的结核病耐药诊断方法耗时且往往缺乏准确性,导致延迟适当的治疗开始和加剧耐药菌株的传播。近年来,人工智能(AI)技术在革新结核病诊断方面显示出了希望,提供快速准确的耐药菌株鉴定。这篇全面的综述探讨了用于诊断MDR-TB和XDR-TB的AI应用的最新进展。我们讨论了各种人工智能算法和方法,包括机器学习,深度学习,和合奏技术,以及它们在结核病诊断中的比较表现。此外,我们研究了人工智能与新的诊断方式的整合,如全基因组测序,分子测定,和放射成像,提高结核病诊断的准确性和效率。围绕在结核病诊断中实施人工智能的挑战和局限性,例如数据可用性,算法可解释性,和监管方面的考虑,也解决了。最后,我们强调未来将人工智能整合到常规临床实践中以对抗耐药结核病的方向和机会,最终有助于改善患者预后和加强全球结核病控制工作。
    Tuberculosis (TB) remains a significant global health concern, particularly with the emergence of multidrug-resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB). Traditional methods for diagnosing drug resistance in TB are time-consuming and often lack accuracy, leading to delays in appropriate treatment initiation and exacerbating the spread of drug-resistant strains. In recent years, artificial intelligence (AI) techniques have shown promise in revolutionizing TB diagnosis, offering rapid and accurate identification of drug-resistant strains. This comprehensive review explores the latest advancements in AI applications for the diagnosis of MDR-TB and XDR-TB. We discuss the various AI algorithms and methodologies employed, including machine learning, deep learning, and ensemble techniques, and their comparative performances in TB diagnosis. Furthermore, we examine the integration of AI with novel diagnostic modalities such as whole-genome sequencing, molecular assays, and radiological imaging, enhancing the accuracy and efficiency of TB diagnosis. Challenges and limitations surrounding the implementation of AI in TB diagnosis, such as data availability, algorithm interpretability, and regulatory considerations, are also addressed. Finally, we highlight future directions and opportunities for the integration of AI into routine clinical practice for combating drug-resistant TB, ultimately contributing to improved patient outcomes and enhanced global TB control efforts.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号