在教学医院的卫生保健工作者中发现结核病的活跃病例,印度普杜切里,印度
Sneha Leo1, Manju Rajaram1, Madhusmita Mohanty Mohapatra1
1Department of Pulmonary Medicine, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, India.
概括
卫生保健工作者 (HCW) 的常规结核病查是可行的和有效的. 活跃病例发现 (ACF) 在0.5%的HCW中确定了活跃结核病,强调了对这一高风险群体进行查的必要性.
科学领域:
- 职业健康 职业健康 职业健康
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 医疗保健工作者 (HCW) 面临着结核病 (TB) 感染和疾病的职业风险.
- 在HCW中缺乏常规结核病查 (活跃病例发现 - ACF) 的国家指导方针,阻碍了早期检测.
- 了解ACF在HCW中的实施和可行性至关重要.
研究的目的:
- 评估在印度一家教学医院的卫生保健工作者 (HCW) 中结核病 (TB) 活跃病例发现 (ACF) 的产量和可行性.
- 评估症状查的有效性,以确定HCW中可疑的结核病.
- 为了确定与HCWs之间的结核病感染相关的因素.
主要方法:
- 症状查用于识别可能患有结核病的HCW.
- 假定结核病的HCW接受了进一步评估,以诊断活性结核病.
- 在18个月的时间里,共检查了1001名HCW.
主要成果:
- 在HCW中,5.1% (51/1001) 患有可疑的结核病;0.5% (5/1001) 被诊断为活跃结核病.
- 对于一个活跃结核病例进行查 (NNS) 所需的数量是200个HCW.
- 酒精使用和接触活跃结核病患者与假定的结核病有显著的关联.
结论:
- 在这项研究中,HCW中结核病的活跃病例发现 (ACF) 显示出了良好的产量.
- 使用常规的国家结核病计划指南实施ACF对于HCW来说是可行的.
- 在这个高风险职业群体中,ACF有助于早期诊断和治疗结核病.
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