墨西哥的儿童结核病和COVID-19现象:过去和现在
Liliana Rivera-Espinosa1, Chaak Castellanos-Carrizal2, Sergio Montes2
11Laboratorio de Farmacología, Instituto Nacional de Pediatría, Ave Iman No.1, Insurgentes Cuicuilco, Coyoacán, CDMX, Ciudad de México, 04530, México.
Acta microbiologica et immunologica Hungarica
|February 15, 2024
概括
儿童结核病经常被忽视,对流行地区的儿童构成重大风险. 由于COVID-19的流行,墨西哥的情况恶化了,影响了这个弱势群体的诊断和治疗成功.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 儿科 儿科 儿科
背景情况:
- 儿童结核病是流行地区的重大公共卫生问题,尽管在儿童中传播的风险很高,但经常被忽视.
- 在儿童中诊断结核病是具有挑战性的,原因是样本采集的困难和低细菌产量,加之是免疫性受损个体的免疫学测试不一致.
- 随着COVID-19大流行,医疗保健服务受到干扰,人们对儿科结核病管理的现状感到担忧.
研究的目的:
- 突出儿童结核病的历史性忽视和独特挑战.
- 分析COVID-19流行病对墨西哥结核病监测和治疗的影响.
- 强调需要更新的研究和改善儿童结核病的流行病学监测.
主要方法:
- 对有关儿科结核病挑战的现有文献的审查.
- 分析墨西哥COVID-19大流行前后的全国结核病数据.
- 检查病例报告,死亡率,治疗成功率和疫苗接种率的趋势.
主要成果:
- 结核病不成比例地影响到流行地区的儿童,与流行率较低的地区相比,结核病的发病率更高.
- 墨西哥国家数据显示,报告的结核病例和治疗成功率有所下降,死亡率上升以及流行后儿童疫苗接种率大幅下降.
- 结核菌菌的免疫学测试在特有环境中不一致,特别是在免疫受损的儿童中.
结论:
- 儿童结核病需要专注的关注和专门的策略,超出了成人结核病的策略.
- 墨西哥的COVID-19流行病加剧了墨西哥儿童结核病管理的现有挑战,迫切需要对公共卫生干预措施进行重新评估.
- 进一步的研究对于了解当前儿童结核病的流行病学和加强高发病率地区的监测系统至关重要.
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