TY -Jour T1-瑞典斯德哥尔摩孕妇的结核病筛查和治疗, Gabrielle AU - Jansson, Lena AU - Nyberg, Katherine AU - Obasi, Birgitta AU - Westling, Katarina AU - Berggren, Ingela AU - Bruchfeld, Judith Y1 - 2020/03/01 UR - //www.qdcxjkg.com/content/55/3/1900851.Abstract N2-瑞典国家结核病（TB）指南建议在孕妇（PW）中筛查活性和潜在TB（LTBI）（PW），或者以前可能会暴露于可能改善早期检测和早期检测，治疗。我们评估了2016 - 2017年在斯德哥尔摩县新引入的孕妇的结核病筛查计划的级联护理。该算法包括孕产妇医疗诊所的临床数据和QUTER（QFT），并在阳性测试或结核病症状下转诊以进行专业护理。每年注册29 000 HIV阴性孕妇，其中11％来自高层国家。2016年，其中72％的QFT筛选，其中22％为QFT阳性，有85％的人被转介从事专业护理。2017年，相应的数字分别为64％，19％和96％。随着时间的推移，所有QFT阳性孕妇的LTBI治疗率从24％增加到37％。主要是利福平产后的治疗完成为94％。在69名注册的HIV阳性孕妇中，有78％来自高流行国家。其中，有72％的QFT筛选为阳性，但没有治疗LTBI。 9 HIV-negative active pulmonary TB cases were detected (incidence: 215/100 000). None had been screened for TB prior to pregnancy and only one had sought care due to symptoms.Systematic TB screening of pregnant women in Stockholm was feasible with a high yield of unknown LTBI and mostly asymptomatic active TB. Optimised routines improved referrals to specialist care. Treatment completion of LTBI was very high. Our findings justify TB screening of this risk group for early detection and treatment.Systematic TB screening of pregnant women in Stockholm was feasible with high yield of unknown latent TB and mostly asymptomatic active TB. Optimised routines improved referrals to specialist care. Adherence to treatment of latent TB was very high. http://bit.ly/2NrhEwk ER -