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Updated: Aug 16, 2026
23:06
The MODS method for diagnosis of tuberculosis and multidrug resistant tuberculosis
Published on: August 11, 2008
バングラデシュの地域保健医療従事者による結核の管理
A M Chowdhury1, S Chowdhury, M N Islam
1BRAC, Dhaka, Bangladesh. red@amrbrac.bdmail.net
Lancet (London, England)
|July 19, 1997
まとめ
ブラク (BRAC) とは
科学分野:
- 公衆衛生は公衆衛生である.
- 感染症のコントロール・コントロール
- グローバル・ヘルス グローバル・ヘルス
背景:
- 結核 (TB) は,バングラデシュで重大な公衆衛生上の課題となっています.
- 国内での結核対策の取り組みは,症例の検出と治療の順守において課題に直面しています.
- BRACは1984年にコミュニティベースの結核管理プログラムを開始し,複数の段階を経て進化しました.
研究 の 目的:
- BRACのコミュニティベースの結核対策プログラムの有効性を評価する.
- 症例検知率,治療順守,患者のアウトカムを評価する.
- プログラム地域における結核の罹患率と,プログラム以外の地域における結核の罹患率を比較する.
主な方法:
- 1992年から1995年にかけてのプログラムデータを分析し,12ヶ月と8ヶ月間の治療を対象とした.
- 治療結果の別々の分析 (治癒,死亡,失敗,デフォルト,移行,推薦) を異なるフェーズで行う.
- ランダムに選択された世帯の横断調査により,結核の罹患率を決定し,プログラムと非プログラム領域を比較します.
主要な成果:
- 高い治療受容率: 12ヶ月の治療では90%,8ヶ月の治療では100%です.
- 81.0% (12ヶ月) と85.9% (8ヶ月) の治癒率を達成しました.
- プログラム地域における結核の罹患率は,プログラム以外の比較地域 (0.07対0.15/100) の半分であった.
結論:
- BRACの結核対策プログラムは,高い症例の検出と治療順守において成功を収めている.
- 治癒率は85%を超え,中退率は3.1%と低い.
- このプログラムは結核の罹患率を効果的に低下させ,既存の症例の少なくとも半分が発見されたことを示唆しています.
キーワード:
アジア アジア アジアバングラデシュ バングラデシュ バングラデシュ バングラデシュ バングラデシュ バングラデシュ バングラデシュ伝染病のコントロール・コントロールコミュニティ・ワーカー--女性保健医療の提供について発展途上国 開発途上国病気 病気 病気ドラッグ ドラッグ ドラッグ経済的な要因 経済的な要因健康 健康 健康 健康とは医療スタッフ 医療スタッフ医療サービス 健康サービス感染症 感染症低所得者集団 低所得者集団非政府機関 非政府機関組織と管理 組織と管理組織 組織 組織 組織プログラムの有効性 プログラムの有効性プログラム評価プログラムプログラム プログラム プログラム社会階級 社会階級社会経済的要因 社会経済的要因社会経済的地位 社会経済的地位南アジア 南アジア 南アジアトリートメント 治療法結核 - 予防と制御さらに関連する動画
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