严重营养不良儿童肺结核入院营养康复中心:一个多中心研究
Manjula Singh1, Bhavna Dhingra2, Bipra Bishnu3
1Indian Council of Medical Research (ICMR), New Delhi, India.
Indian journal of pediatrics
|July 20, 2023
概括
一项研究发现,印度超过4%的儿童严重营养不良.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 严重营养不良是儿童的重大健康问题.
- 营养不良的儿童更容易感染感染,包括结核病.
- 营养康复中心 (NRC) 接纳急性严重营养不良的儿童.
研究的目的:
- 确定印度NRC入院的严重营养不良儿童肺结核 (TB) 的患病率.
- 评估在这个脆弱人群中诊断结核病的可行性.
主要方法:
- 在印度41个NRC中进行了一项多中心的横截面研究.
- 进入NRC的儿童使用国家算法进行肺结核查.
- 诊断方法包括基于盒子的核酸放大测试 (CBNAAT),结核素皮肤测试 (TST) 和胸部X射线.
主要成果:
- 共有4356名儿童被录取.
- 在189名儿童 (4.3%) 中发现了肺结核.
- 在87名儿童 (1.99%) 中发现了微生物学确认 (阳性CBNAAT).
- 与结核病患者接触的病史是唯一重要的关联因素.
结论:
- 接受NRC治疗的严重营养不良儿童中,很大一部分患有肺结核.
- 在这些儿童中对结核病的查和诊断是可行的,并且对于改善健康结果很重要.
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