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结核的控制策略DOTS:国际推荐的结核控制策略,是在20世纪90年代发展起来的,并已在182个国家施行。它包含5个主要内容:行政监督、痰涂片显微镜诊断、标准一线药物的短程治疗、可靠的药物供给和能对病人疗效和整个项目运行情况进行记录和报告的系统;DOTS-Plus:多耐药性结核病控制策略,由世界卫生组织和其他合作机构在1999年制定。它在DOTS的基础上增加了痰培养和药物敏感性测试两种诊断手段,并联合一线药物和二线药物进行治疗;StopTB策略:WHO在2005年提出,旨在指导2006～2015年的结核控制效果。它是建立在DOTS和DOTS-Plus基础上,并有6个主要内容:继续加强和扩展DOTS;致力研究结核合并HIV感染病例、治疗多耐药性结核及其他特殊结核;帮助加强卫生保健系统;鼓励所有的卫生保健支持者;加强患者与社会的联系;促进研究工作的进展。
Tuberculosis control strategies DOTS: The internationally recommended tuberculosis control strategy was developed in the 1990s and has been implemented in 182 countries. It consists of five main components: administrative supervision, diagnosis of sputum smear microscopy, brachytherapy of standard first-line drugs, reliable drug supply and systems for recording and reporting patient efficacy and overall project performance; DOTS-Plus: Medicinal tuberculosis control strategy, developed by WHO and other cooperative agencies in 1999. It adds two diagnostic tools, sputum culture and drug sensitivity test, based on DOTS, combined with first-line and second-line drugs. StopTB Strategy: WHO put forward in 2005 to guide TB control effect from 2006 to 2015 . It is based on DOTS and DOTS-Plus and has six main components: to continue to strengthen and expand DOTS; to study TB cases of HIV infection, to treat multi-drug resistant tuberculosis and other specific tuberculosis; to help strengthen the health care system; Encourage all health care supporters; strengthen patient-to-society linkages; and facilitate research.