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中国防痨杂志 ›› 2020, Vol. 42 ›› Issue (12): 1268-1271.doi: 10.3969/j.issn.1000-6621.2020.12.003

• 专家论坛 • 上一篇    下一篇

传染病防控视角下耐多药及广泛耐药结核病患者交通出行的立法思考

孙明雷*, 关黎, 赵娟, 王晨, 邹丹丹, 梁立波()   

  1. 150081 哈尔滨医科大学卫生管理学院社会医学教研室(孙明雷、赵娟、王晨、邹丹丹、梁立波);黑龙江省传染病防治院党政办公室(关黎)
  • 收稿日期:2020-07-30 出版日期:2020-12-10 发布日期:2020-12-24
  • 通信作者: 梁立波 E-mail:llbhit@163.com
  • 基金资助:
    国家自然科学基金(71974049)

Legislative considerations on traffic travel of MDR-TB/XDR-TB patients from the perspective of infectious disease prevention and control

SUN Ming-lei*, GUAN Li, ZHAO Juan, WANG Chen, ZOU Dan-dan, LIANG Li-bo()   

  1. *Department of Social Medicine, Health Management College of Harbin Medical University, Harbin 150081, China
  • Received:2020-07-30 Online:2020-12-10 Published:2020-12-24
  • Contact: LIANG Li-bo E-mail:llbhit@163.com

摘要:

耐多药及广泛耐药结核病(MDR-TB/XDR-TB)患者流动始终是结核病防控的重大难题,活动性MDR-TB/XDR-TB患者乘坐公共交通工具出行可能增加结核分枝杆菌的传播概率,亟需从立法的角度对交通出行的MDR-TB/XDR-TB患者进行管控,制定及完善MDR-TB/XDR-TB患者出行的法律法规,以互联网及大数据为支撑实现多部门、多领域对于MDR-TB/XDR-TB患者的信息共享及联网追踪,充分发挥基本公共卫生及基层医疗机构的积极作用,完善对MDR-TB/XDR-TB患者登记、上报、出行及治疗情况记录,以及构建监管的动态管理体系。在强有力的法律支撑下,利用网络信息化优势,多部门协同合作,充分发挥结核病患者管理人员及信息监测人员的职能作用,建立完备的患者网络管理流程,推进MDR-TB/XDR-TB患者出行管理及防控工作。

关键词: 传染病控制, 结核,抗多种药物性, 泛耐药结核病, 立法,医学, 公共卫生管理

Abstract:

MDR-TB and XDR-TB patients have always been a major problem in the prevention and control of tuberculosis. Travel by public transportation for MDR-TB/XDR-TB patients during the active period may increase the probability of transmission of tuberculosis. There is an urgent need to control MDR-TB/XDR-TB patients on traffic from a legislative perspective. Formulate and improve the travel laws and regulations for MDR-TB/XDR-TB patients, use the internet and big data as the support to realize the information sharing and online tracking of MDR-TB/XDR-TB patients in multiple departments and fields, and give full play to the active role of basic public health and primary medical institutions to achieve dynamic management of MDR-TB/XDR-TB patients. Improve the dynamic management system for registration, reporting, travel and treatment records and supervision of MDR-TB/XDR-TB patients. With strong legal support, using the advantages of network information technology, multiple departments coordinated and cooperated, give full play to the functions of tuberculosis patient management personnel and information monitoring personnel, and establish a complete patient network management procedure to promote the management and prevention and control of travel of patients with MDR-TB/XDR-TB.

Key words: Communicable disease control, Tuberculosis,multidrug-resistant, Extensively drug-resistant tuberculosis, Legislation,medical, Public health administration