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在国际移民工人中延迟寻求护理,在中国进口疟疾

Jiyue Gu¹, Yuanyuan Cao^2,3, Liying Chai¹

¹Department of Epidemiology and Biostatistics, School of Public Health, Medical College of Yangzhou University, Yangzhou University, Yangzhou, Jiangsu Province, 225009, China.

Journal of travel medicine

|February 9, 2024

概括

一个新的名图预测了移民工人延迟疟疾诊断. 这种工具有助于早期干预,以预防严重疾病并维持消除疟疾的努力.

科学领域:

公共卫生公共卫生
流行病学流行病学
传染病控制和控制传染病

背景情况:

进口疟疾病例对疟疾消除地区构成了持续的挑战.
及时诊断和治疗对于保持疟疾消除成功至关重要.
国际移民工人是进口疟疾监测的关键人口.

研究的目的:

开发一个用户友好的预测名录,用于识别移民工人中进口疟疾病例的延迟寻求护理.
帮助公共卫生从业人员在风险早期发现和干预方面提供帮助.

主要方法:

在中国江苏省使用进口疟疾病例 (2012-2019) 开发了一个预测模型.
多变量后勤回归确定了延迟寻求护理的预测因素,包括人口统计,症状,起源,停留时间,寻求护理的位置和目的地城市GDP.
构建并验证了用于歧视和校准的nomogram.

主要成果:

在2255名进口疟疾患者中,28.2%在24小时内寻求治疗,25.6%在3天后寻求治疗.
延迟寻求护理与进入中国之前出现症状,在优质设施寻求护理以及目的地城市GDP的增加有关.
通过良好的校准,建立了一个直观的nomogram.

结论:

开发的诺米图表能够在进口疟疾的移徙工人中早期检测延迟寻求护理的风险.
这种工具可以改善旅行后的医疗保健,减少严重疟疾,防止重新引入,并支持消除疟疾的目标.

关键词:

中国中国中国中国.进口的疟疾.延迟寻求护理的时间.国际移民工人是国际移民工人.预防疟疾,重新引入疟疾

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