在中国江省高负担地区的高风险人群中,积极对结核病进行查
1Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China; NHC Key Lab of Health Economics and Policy Research (Shandong University), Jinan, 250012, China.
Public health
|December 6, 2023
概括
在中国,积极病例发现 (ACF) 在高风险群体中确定了结核病 (TB) 病例. 这一战略可能有助于减少结核病的传播,并保持通报率的下降.
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:
- 结核病 (TB) 仍然是一个重大的全球卫生挑战,尽管发病率下降,但中国仍面临持续的控制困难.
- 针对性干预对于高负担地区的结核病管理至关重要.
研究的目的:
- 为中国高风险人群制定和评估积极病例发现 (ACF) 战略.
- 评估ACF在早期发现结核病和减少传播方面的有效性.
主要方法:
- 在中国江省的24个高负担乡镇进行了一项描述性研究 (2019年5月至10月).
- 查包括65岁以上的居民,患有糖尿病,艾滋病毒/艾滋病或结核病史.
- 方法包括胸部放射,唾液涂抹测试和培养,由专业医疗团队进行最终诊断.
主要成果:
- 130,643名居民进行了查,确定了89例确诊和419例疑似结核病例.
- 确诊病例的检测率为68.12/100,000,疑似病例的检测率为320.72/100,000.
- ACF的战略确定了10.5%的报告的结核病例,并与2020年结核病报告率的下降相吻合.
结论:
- 实施的ACF战略显示,在高风险群体中早期发现结核病的潜力很大.
- 调查结果表明,ACF可能有助于在短期内维持结核病报告率的下降趋势.
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