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Updated: Jun 27, 2025

Diagnosing Pulmonary Tuberculosis with the Xpert MTB/RIF Test
Published on: April 9, 2012
印度尼西亚雅加达市库隆普罗戈区发现结核病例:使用移动胸部X射线发现被动和活跃病例
John Silwanus Kaku1, Riris Andono Ahmad1,2, Stephanie Main3
1Center for Tropical Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia.
在印度尼西亚,使用胸部X射线的结核病 (TB) 活跃病例发现 (ACF) 与被动方法相比,显著增加了临床诊断. ACF确定了总结核病病例的36.5%,强调了其在结核病检测中的重要性.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 诊断成像 诊断成像 诊断成像
背景情况:
- 结核病 (TB) 仍然是一个重大的公共卫生挑战,特别是在印度尼西亚.
- 常规结核病例发现可能会错过大量病例.
- 积极病例发现 (ACF) 策略,包括胸部X射线查,对于提高结核病检测率至关重要.
研究的目的:
- 为了比较活跃病例发现 (ACF) 与被动病例发现 (PCF) 策略的有效性,用于检测结核病 (TB).
- 评估通过ACF和PCF识别的临床结核病诊断的比例.
- 评估ACF对印度尼西亚库隆普罗戈区结核病例通报总体情况的贡献.
主要方法:
- 追溯研究分析了2021年库隆普罗戈区卫生设施的结核病例通知数据.
- 包括通过常规活动 (PCF) 和活跃病例发现 (ACF) 发现的结核病例.
- 在ACF和PCF策略之间比较诊断比例和病例检测率.
主要成果:
- 在2021年,Kulon Progo共报告了249例结核病例,其中41%的细菌学证实.
- 活跃病例发现发现的结核病例总数中有91例 (36.5%).
- 与PCF (50%) 相比,ACF (74.7%) 中临床结核病诊断的比例更高.
结论:
- 积极病例的发现,特别是利用胸部X射线,在检测临床结核病例方面比被动病例的发现更有效.
- ACF在补充常规结核病检测工作和增加诊断结核病病例的总数方面发挥着至关重要的作用.
- 建议实施和扩大ACF战略,以改善印尼结核病例的发现.
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