在COVID-19封锁期间,大流行对DOTS治疗的影响 - - 一项跨部门研究
Satish Kabbur1, Bhagyashree Patil2, Mubashir Angolkar1
1Department of Public Health, J N Medical College, KAHER, Nehru Nagar, Belagavi, 590010, India.
The Indian journal of tuberculosis
|August 10, 2023
概括
由于COVID-19的封锁,印度的结核病患者无法获得直接观察治疗,短期治疗 (DOTS). 许多患者缺乏监督和定期随访,影响了治疗的坚持.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 结核病 (TB) 仍然是全球主要的传染病,印度面临着巨大的负担.
- 由于COVID-19的流行,印度的基本卫生计划,包括印度国家结核病消除计划 (NTEP) 受到干扰.
- 封锁期间的挑战包括服务优先级,到达不同的社区,耻辱和潜在的疾病传播影响直接观察治疗,短期 (DOTS).
研究的目的:
- 评估COVID-19大流行对DOTS治疗坚持和可访问性的影响.
- 评估COVID-19封锁期间结核病护理中断的情况.
主要方法:
- 在贝拉加维地区对254名接受DOTS的结核病患者进行了横截面研究.
- 从2019年至2021年期间接受治疗的患者收集了数据,涵盖了封锁期间.
主要成果:
- 只有2.0%的患者接受了监督的药物摄入; 26.4%的患者有卫生工作者收集的空囊袋.
- 只有41.7%的参与者获得了卫生部门的定期随访.
- 性别,识字,社会经济地位和职业显著与锁定期间减少DOTS访问相关 (p <0.05).
结论:
- 该研究得出的结论是,在COVID-19封锁期间,结核病患者获得DOTS的机会受到显著阻碍.
- 需要采取干预措施,以确保在公共卫生紧急情况下为结核病患者提供持续的护理.
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