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A Tuberculosis Molecular Bacterial Load Assay TB-MBLA
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确保跨越亚洲边界的结核病持续治疗
A Ohkado1, S Lee1,2, A Yoshie1
1Department of Epidemiology and Clinical Research, Centre for Japan Pre-Entry Tuberculosis Screening (JPETS) Quality Assessment, Research Institute of Tuberculosis (RIT), Japan Anti-Tuberculosis Association (JATA), Kiyose.
Public health action
|May 27, 2024
概括
结核病 (TB) 患者的跨境迁移可能会中断治疗. 日本的一项新的转诊程序改善了移徙结核病患者的医疗保健和治疗成功率,超过80%.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 移民 卫生 移民 卫生
背景情况:
- 结核病 (TB) 治疗期间的跨境迁移造成治疗中断的重大风险.
- 确保对移徙结核病患者的持续护理对于成功治疗结果和疾病控制至关重要.
研究的目的:
- 为从日本迁移的结核病患者建立和评估一个跨境转诊系统.
- 为了提高医疗保健的获取和改善外国出生的结核病患者返回本国治疗结果.
主要方法:
- 未来的队列研究设计.
- 追踪在治疗期间返回本国的外国出生的结核病患者.
- 评估医疗保健设施的准入和转诊后治疗完成率.
主要成果:
- 135名外国出生的结核病患者被录取;其中112名 (83.0%) 在本国获得了医疗保健设施.
- 在102名符合条件的患者中,有87人 (85.3%) 完成了结核病治疗.
- 确认获得医疗保健与治疗成功有显著的关联 (P < 0.001).
结论:
- 跨境转诊流程为超过80%的从日本迁移的结核病患者提供了更容易获得医疗保健和完成治疗的机会.
- 需要进一步改进,以使用官方数据确认治疗结果.
- 这项研究强调了结构化转诊系统在移动人口中的结核病管理中的有效性.
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