在一个大型卫生系统中,非美国出生的人群的潜在结核病查级联
Adrienne E Shapiro1,2, Ayushi Gupta2, Kristine Lan2
1Department of Global Health, University of Washington, Seattle, Washington, USA.
Open forum infectious diseases
|July 10, 2023
概括
对于非美国出生的个人来说,潜伏结核病感染 (LTBI) 护理存在重大差距. 许多符合条件的患者没有完成LTBI测试或治疗,这突显了护理级联中的关键问题.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 潜伏性结核病感染 (LTBI) 是一个主要的全球健康问题,特别是在外国出生的人口中.
- 有效的LTBI管理对于预防和控制结核病至关重要.
- 识别和解决LTBI护理级联中的差距对于改善健康结果至关重要.
研究的目的:
- 评估LTBI护理级联的每个阶段的完成率.
- 在非美国出生的个人中识别LTBI查和治疗的脱落点.
- 为旨在改善初级保健机构中LTBI管理的干预措施提供信息.
主要方法:
- 电子健康记录的回顾性审查.
- 对一个非美国出生的人群的LTBI护理级联的分析.
- 查,测试和治疗完成率的计算.
主要成果:
- 在LTBI护理级联的每个阶段都观察到大量的下降.
- 只有20% (1012/5148) 的符合条件的人接受了LTBI测试.
- 不到一半 (48%) 的LTBI阳性个体 (140/296) 接受治疗.
结论:
- 在非美国出生人口的LTBI护理级联中存在重大障碍.
- 需要采取干预措施来提高LTBI测试和治疗完成率.
- 解决这些差距对于消除结核病的努力至关重要.
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