昆士兰州2016-2020年潜伏结核病感染的五年分析
Marguerite Dalmau1, Chris Coulter2, Bridget O'Connor3
1Communicable Diseases Branch, Department of Health, Queensland Health, Brisbane; National Centre for Epidemiology and Population Health, Research School of Population Health, The Australian National University, Canberra. meg.dalmau@anu.edu.au.
Communicable diseases intelligence (2018)
|November 15, 2023
概括
澳大利亚的目标是到2035年消除结核病,因此需要进行潜在结核病感染 (LTBI) 管理. 这项研究估计了昆士兰州潜在的年度LTBI通知,如果它成为一个可通知的条件,则会显示出大量数字.
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
- 控制结核病的控制方法
背景情况:
- 澳大利亚的目标是到2035年消除结核病.
- 在发病率较低的环境中,对潜伏性结核病感染 (LTBI) 的管理至关重要.
- 本研究分析了昆士兰州最近的LTBI测试趋势.
研究的目的:
- 描述昆士兰州 (2016-2020年) LTBI测试的特点.
- 估计潜在的年度通知,如果 LTBI 是一个可通知的条件.
- 为监测策略和对结核病控制的资源分配提供信息.
主要方法:
- 昆士兰州结核素皮肤测试 (TST) 和干扰素释测试 (IGRA) 数据的描述性分析.
- 包括2016年1月至2020年12月的公共和私人测试数据.
- 基于对照测试和结核病通知数据的全州LTBI通知估计.
主要成果:
- 分析了3899个公共TST,5463个私人TST,37,802个公共IGRA和31,656个私人IGRA的结果.
- 年平均1,067个阳性IGRA和354个阳性TST结果被确定.
- 据估计,每年潜伏结核病的通知数量在2,901至6,995之间,其中公共结核病诊所的贡献最大.
结论:
- 隐性结核病感染的通知可能会排在昆士兰州十大最常被通知的疾病中,如果它成为可通报的.
- 这些发现对公共卫生监测方法和资源规划有重大影响.
- 有效的LTBI管理对于实现澳大利亚结核病预消除目标至关重要.
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