老年人结核病:西太平洋地区的挑战和最佳实践
Alvin Kuo Jing Teo1,2,3, Fukushi Morishita4, Tauhid Islam4
1Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.
The Lancet regional health. Western Pacific
|August 7, 2023
概括
结核病 (TB) 不成比例地影响西太平洋地区的老年人. 需要量身定制的区域战略来改善结核病查,诊断和治疗这一弱势群体.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 公共卫生政策 公共卫生政策
背景情况:
- 西太平洋地区面临着人口快速老龄化和结核病 (TB) 的高负担.
- 老年人由于免疫力减弱,慢性健康状况和机构生活等因素,更容易感染结核病.
- 诊断和治疗方面的挑战,包括非典型症状和药物反应风险,使得这一群体的结核病管理复杂化.
研究的目的:
- 突出西太平洋地区老年人结核病管理的独特挑战.
- 倡导制定针对老年人结核病控制的具体区域政策和指导方针.
- 确定改善老年结核病患者结核病结果的最佳实践.
主要方法:
- 这项研究是对西太平洋地区老年人结核病现有知识的综合和综述.
- 它分析了这一群体面临的特定风险,诊断困难,治疗并发症和治疗后的后果.
- 这项研究发现,当前针对老年人的区域结核病控制战略存在差距.
主要成果:
- 在西太平洋地区,老年人患结核病的风险和死亡率较高.
- 非典型的结核病呈现和延迟获得医疗保健阻碍了及时诊断.
- 同病症和药物不良反应使治疗复杂化,而结核病后的后续影响生活质量.
结论:
- 对于老年结核病管理的协调区域政策和指导方针至关重要.
- 建议在老年护理机构和年龄友好型卫生服务中实施常规结核病查.
- 结核病和非传染性疾病服务的整合,以及以人为中心的护理,可以加强结核病控制并改善老年人的结核病结果.
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