吸烟和结核病复发之间的关系:系统性审查和元分析
Fatemeh Pourali1, Mohammad Khademloo2, Siavosh Abedi3
1Student Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
The Indian journal of tuberculosis
|November 15, 2023
概括
吸烟显著增加了结核病复发的风险. 戒烟对于结核病控制和根除工作至关重要,减少疾病发生率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 结核病 (TB) 的复发对全球结核病控制计划构成了重大挑战.
- 在多项研究中,吸烟被确定为导致结核病复发的主要危险因素.
研究的目的:
- 进行一项元分析,研究吸烟与结核病复发之间的关联.
- 在吸烟者中量化结核病复发风险.
主要方法:
- 遵守PRISMA指导方针进行元分析报告.
- 使用MeSH和非MeSH关键字进行系统的文献搜索,并使用PICO研究问题的框架.
- 使用纽卡斯尔-太华尺度 (NOS) 进行包含研究的质量评估.
主要成果:
- 包含29214名参与者的14项研究被纳入了元分析.
- 吸烟者患结核病复发的概率是统计学上显著的2.10倍 (95% CI: 1.69, 2.61).
- 在14项研究中,13项表明吸烟者结核病复发的几率比率更高,其中12项显示统计学意义.
结论:
- 吸烟是一个显著的风险因素,增加了结核病复发的可能性.
- 实施强有力的戒烟干预措施对于实现到2030年根除结核病至关重要.
- 减少吸烟的流行率可以直接导致结核病发病率的减少.
相关概念视频
Pulmonary Tuberculosis I
245
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
245
Pulmonary Tuberculosis III
336
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
336
Pulmonary Tuberculosis II
242
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
242
Pulmonary Tuberculosis V
181
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
181
Pulmonary Tuberculosis IV
143
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
143
Statistical Methods for Analyzing Epidemiological Data
376
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
376


