没有结核病的Ebeye:结核病和非传染性疾病病例在马绍尔群岛的Ebeye综合发现的结果
Richard J Brostrom1,2, Angela Largen2, Joaquin N Nasa3
1Centers for Disease Control and Prevention, Division of TB Elimination, Atlanta, GA, United States of America.
Journal of clinical tuberculosis and other mycobacterial diseases
|February 15, 2024
概括
在马绍尔群岛的Ebeye发现了高水平的结核病 (TB) 和糖尿病 (DM). 综合查揭示了结核病和DM之间的强烈关联,突出了联合卫生干预措施的必要性.
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
- 非传染性疾病的查.
背景情况:
- 马绍尔群岛的结核病 (TB) 发病率是世界上最高的.
- 马绍尔群岛共和国卫生部在2017年在Ebeye进行了全岛结核病查,原因是结核病的发病率很高.
研究的目的:
- 在Ebeye开展结核病,汉森病 (HD) 和糖尿病 (DM) 综合查活动.
- 评估这些疾病的患病率,并确定它们之间的关联.
主要方法:
- 在整个岛屿查了5,166名个人 (90%的目标人口).
- 结核病评估包括采访,胸部放射和GeneXpert® MTB-RIF测试.
- 查还包括对成年人汉森病 (HD),糖尿病 (DM),高血压和高胆固醇血症的测试.
主要成果:
- 确定了39例新的结核病例 (755/100,000) 和14例汉森病病例 (270/100,000).
- 在1,096个人 (27%),检测到糖尿病,351个新诊断.
- 在查的人群中,高血压影响了61%和高胆固醇15%.
结论:
- 在Ebeye的一个综合查活动成功地确定了结核病,HD,DM和高血压的流行病例.
- 在结核病和糖尿病之间发现了显著的关联 (aOR 4.68).
相关概念视频
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