与马来西亚佩拉克省曼容区结核病死亡率相关的因素
Asraf Ahmad Qamruddin1, Gregory Xavier1, Syed Mohammad Zahid1
1Manjung District Health Office, Perak, Malaysia.
The Malaysian journal of medical sciences : MJMS
|July 10, 2023
概括
结核病 (TB) 死亡率在老年人,非马来西亚人和艾滋病毒感染者中较高. 早期诊断和优化查对于减少结核病死亡率至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 结核病 (TB) 仍然是一个重大的全球卫生挑战,在全球范围内对疾病发病率和死亡率作出重大贡献.
- 它是导致单个传染病原体导致死亡的主要原因.
研究的目的:
- 调查马来西亚佩拉克省曼容区结核病的流行病学模式.
- 为了确定与结核病死亡率相关的因素.
主要方法:
- 分析了2015年至2020年在曼区登记的确诊结核病例.
- 利用简单和多重逻辑回归来确定与结核病死亡率相关的因素.
主要成果:
- 在742例结核病患者中,有16.3%的患者在治疗完成前死亡.
- 显著的死亡预测因素包括年龄 (45-64岁和65岁以上),非马来西亚身份,政府医院的通知和艾滋病毒阳性状态.
- 不提供或未知艾滋病毒检测也与死亡风险增加有关.
结论:
- 45岁及以上的结核病患者,艾滋病毒感染者,外国人以及经历延迟诊断的人面临更高的死亡风险.
- 实施早期诊断,加强查方案和勤奋的患者监测是推的策略,以减轻结核病死亡率.
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