Infection Prevention Review: IGRA, PrEP, PEP and Hepatitis B | Part 2 | 防治 | OET Music

Dr Allison Lu · Pip & Barnaby · Medical English

本頁提供本曲完整英文歌詞與影片搭配的繁中醫學提示。歌詞保留原演唱文字;遇到過度簡化或舊門檻,請搭配下方提示與原始資料閱讀。這是概念學習材料,不替代個別醫療評估。

Lyrics · 完整歌詞

All resistance in tuberculosis is selected by interrupted therapy,
so directly observed completion of six months is the core of control.
Is the contact BCG-vaccinated?
Then use the interferon-gamma release assay,
whose RD1 antigens are absent from BCG,
and remember that latent infection is neither illness nor infectious.
On HIV, prophylaxis before exposure requires proof of a negative test,
while prophylaxis after exposure must start within seventy-two hours
and last four weeks.
Lucid rule for hepatitis:
B is decided at birth by a vaccine dose within twenty-four hours,
whereas C is cured by direct-acting antivirals in eight to twelve weeks.

All resistance in tuberculosis is selected by interrupted therapy,
so directly observed completion of six months is the core of control.
Is the contact BCG-vaccinated?
Then use the interferon-gamma release assay,
whose RD1 antigens are absent from BCG,
and remember that latent infection is neither illness nor infectious.
On HIV, prophylaxis before exposure requires proof of a negative test,
while prophylaxis after exposure must start within seventy-two hours
and last four weeks.
Lucid rule for hepatitis:
B is decided at birth by a vaccine dose within twenty-four hours,
whereas C is cured by direct-acting antivirals in eight to twelve weeks.

Medical Notes · 醫學學習提示

  1. 更正:抗藥結核也可直接傳播,不全因中斷治療
  2. 藥敏肺結核常用 6 個月;另有適用的短療程
  3. 接種過 BCG 的接觸者,可優先考慮 IGRA
  4. IGRA 測細胞免疫反應,不能單獨診斷活動病
  5. BCG 缺少相關抗原;部分非結核菌仍可交叉反應
  6. LTBI 無活動病症狀且不傳染;須先排除活動病
  7. PrEP 前 HIV 陰性仍須評估空窗與急性感染
  8. PEP 愈早愈好,通常在暴露後 72 小時內開始
  9. 通常連續 28 天,並按指引追蹤 HIV 檢驗
  10. B 肝重預防;C 肝可治癒,但仍可能再感染
  11. 出生劑最好 24 小時內;母 HBsAg+另加 HBIG
  12. DAA 常用 8–12 週、治癒率 >95%;依病況選療程

References