结核病和非结核性菌根性感染在患有脊髓关节炎的患者:一个基于人口的研究
Jiyoul Yang1, Hyun-A Jang2, Hyunjeong Cho3
1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chungbuk National University Hospital, Cheongju 28644, Republic of Korea.
Medicina (Kaunas, Lithuania)
|April 27, 2024
概括
脊椎关节炎 (SpA) 患者不会面临Mycobacterium结核病 (MTB) 或非结核菌 (NTM) 感染的风险增加. 虽然生物药物可能会略微提高MTB风险,但主动查和预防有效地管理这些潜在的感染.
科学领域:
- 类风湿病学 类风湿病学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 脊椎关节炎 (SpA) 是一组慢性炎症性疾病,通常用生物药物治疗.
- 生物疗法可能会增加Mycobacterium结核病 (MTB) 和非结核菌 (NTM) 感染的风险.
- 了解SPA患者的感染风险对于安全治疗至关重要.
研究的目的:
- 为了比较MTB和NTM感染的发病率和风险,SPA患者与对照人群进行比较.
- 评估生物治疗对SPA患者感染风险的影响.
主要方法:
- 基于人口的队列研究,使用韩国国家医疗保险服务-国家样本队列 (2002-2019).
- 包括2333名SPA患者 (椎炎,牛皮关节炎) 和9332名匹配对照.
- 使用国际疾病分类-10码识别感染;使用Cox比例危险模型分析数据.
主要成果:
- 在SPA患者中,NTM (0.002%) 和MTB (0.016%) 的发生率微不足道,与对照组相比没有显著差异.
- 生物使用显示,NTM (5.66) 和MTB (3.069) 的发病率比率没有显著增加.
- 考克斯分析表明,在SPA患者中,MTB的显著调整危险比率 (1.479),在调整生物治疗后变得无意义.
结论:
- 在患有SpA.的患者中,NTM和MTB感染的风险没有增加.
- 生物治疗可能会略微增加MTB风险,但不会达到统计学上显著的发病率.
- 建议在使用生物药物的SPA患者进行潜在结核病和预防的积极查.
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