在全球结核病预防治疗指南中,优先考虑被剥夺自由的人
Aditya Narayan1, Argita D Salindri1, Salmaan Keshavjee2,3
1Division of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford, California, United States of America.
PLoS medicine
|October 3, 2023
概括
在监狱环境中实施结核病预防治疗带来了独特的挑战和机遇. 这个政策论坛探讨了改善监禁人口中结核病预防的策略.
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
- 卫生政策 卫生政策
背景情况:
- 癌症环境是结核病 (TB) 传播的高危环境.
- 监禁人员往往有更高的结核病感染率和疾病.
- 在惩戒设施内,获得和完成结核病预防治疗 (TPT) 可能是具有挑战性的.
研究的目的:
- 讨论在监狱环境中提供结核病预防治疗时遇到的具体挑战.
- 确定在监狱和监狱内加强TPT计划的机会.
- 为结核病控制在惩戒系统中的政策和实践提供信息.
主要方法:
- 政策分析和讨论.
- 审查有关结核病在监狱环境中的现有文献.
- 专家意见和当前实践的综合.
主要成果:
- 关键的挑战包括患者的坚持,释放后的护理连续性和诊断限制.
- 综合护理模式,有针对性的查和改善药物供应链的机会存在.
- 公共卫生机构与惩戒机构之间的合作至关重要.
结论:
- 在监狱环境中有效实施结核病预防治疗需要定制的策略.
- 解决系统性障碍对于减少被监禁人口中的结核病负担至关重要.
- 政策干预可以促进更好的TPT结果和公共卫生保护.
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