在德切里游牧和半游牧人群中发现结核病的活跃病例
Sivapragasam Ramalingam1, Rajini Senthil1, Premnath Dhasaram1
1Department of Community Medicine, Sri Lakshmi Narayana Institute of Medical Sciences, BIHER, Osudu, Agaram, Koodapakkam Post, Villianur Commune, Puducherry, India.
Journal of family medicine and primary care
|March 14, 2024
概括
这项研究确定了普杜切里游牧人口中可能发生的结核病 (TB) 病例. 虽然积极病例发现 (ACF) 是有效的,但需要进一步的大规模查来检测液阳性个体.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 结核病 (TB) 仍然是一个全球性流行病,在全球范围内造成显著的死亡和发病率.
- 印度的目标是到2025年消除结核病,因此需要针对高风险人群制定有针对性的战略.
研究的目的:
- 为了确定在德切里游牧和半游牧社区内未被诊断的结核病例.
- 评估活跃病例发现 (ACF) 在这些移动人群中检测假定结核病的有效性.
主要方法:
- 在四个月内 (2022年5月至9月) 进行了一项基于社区的横截面研究.
- 数据采集使用预先测试的半结构化问卷,包括社会人口统计数据和结核病特异性病史.
- 根据操作定义确定了可能的结核病例,并提供了唾液收集套件用于实验室分析.
主要成果:
- 该研究确定了6.25%的人口被认为是结核病病例.
- 假定病例主要包括45岁以上的个人 (60%),男性 (80%),以及来自较低社会经济地位的人.
- 糟糕的生活条件 (Kutcha房屋,通风不良,拥挤),并发病 (糖尿病,高血压),以及咳和减肥等症状普遍存在. 在微生物检查时,没有一个假定的病例是唾液阳性的.
结论:
- 活跃病例发现 (ACF) 有效地确定了游牧人口中可能发生的结核病例.
- 大规模的查举措对于检测唾液阳性病例和制这些流动社区的结核病传播至关重要.
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