结核病激增干预:尼日利亚结核病病例发现的最佳方法
C Ogoamaka1, O Bethrand1, U Lotanna1
1KNCV Tuberculosis Foundation Nigeria, Abuja, Nigeria.
Public health action
|December 11, 2023
概括
结核病激增干预成功地在尼日利亚卫生机构中发现了超过65,000例结核病 (TB) 病例,大大减少了错误诊断. 该计划通过对数以百万计的参与者进行查,并将假定病例与测试和治疗联系起来,改善了结核病例的检测.
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
- 加强卫生系统 加强卫生系统
背景情况:
- 结核病 (TB) 是尼日利亚的主要死亡原因,在国家病例报告中存在56%的差距.
- 卫生机构的诊断不足有助于错过结核病病例,并阻碍了有效的控制工作.
- 结核病激增干预的目的是克服公共卫生设施内优化结核病例检测的障碍.
研究的目的:
- 评估结核病激增干预措施在改善尼日利亚公共卫生机构结核病例检测方面的有效性.
- 识别和解决TB及时诊断和治疗启动的障碍.
- 在大规模的公共卫生环境中评估干预的收益率和效率.
主要方法:
- 从2020年6月到2022年9月,结核病激增干预措施在1041个公共设施中实施.
- 经过培训的特设工作人员对医院的患者进行了可疑结核病的查,并将他们与诊断服务联系起来.
- 数据通过Commcare应用程序收集,并得到了强大的项目监控的支持.
主要成果:
- 超过1200万名医院护理人员进行了查,确定了729369例可能的结核病例.
- 总共有65,029例结核病病例被诊断出,其中8%为儿科病例.
- 结核病的总产量为9%,医疗病房的产量最高 (21%);需要检测的数量为11.
结论:
- 结核病激增干预措施在解决医疗保健机构内遗漏结核病病例方面具有战略意义.
- 该计划有效地减少了迅速诊断结核病的障碍,并促进了病例发现.
- 这项干预突出了在资源有限的环境中加强结核病例检测的成功模式.
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