消除结核病的进展和结核病计划的表现 - 国家结核病指标项目,2016-2022年
Rachel Woodruff1, Robert Pratt1, Maureen Kolasa1
1Division of Tuberculosis Elimination, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, CDC.
国家结核病指标 项目数据显示结核病 (TB) 控制活动的改善. 大多数结核病计划加强了减少结核病发病率和确保潜在结核病感染 (LTBI) 治疗完成的努力.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染病控制和控制传染病
背景情况:
- 结核病 (TB) 消除被定义为将发病率降低到每百万病例中<1例.
- 在2022年,美国结核病发病率为每10万人中2.5例.
- 美国疾病预防控制中心 (CDC) 制定了国家结核病指标,以监测计划绩效.
研究的目的:
- 使用国家结核病指标评估消除结核病的进展情况.
- 确定项目评估和改进的领域.
- 协助CDC识别需要技术援助的项目.
主要方法:
- 使用了国家结核病指标项目 (NTIP),这是一个基于网络的工具.
- 对5个关键结核病指标分析了5年 (2016-2022) 的数据.
- 计算了52TB程序的指标性能的相对变化.
主要成果:
- 大多数项目在减少整体结核病发病率 (71.2%) 和增加LTBI治疗完成率 (55.8%) 方面有所改善.
- 超过一半的计划 (51.0%) 减少了非美国出生的个人中的结核病发病率.
- 大约三分之二的项目达到或超过了国家药物敏感性测试和治疗完成的平均水平.
结论:
- 这份报告是第一个显示结核病计划绩效5年相对变化的报告.
- 结果表明,在识别TB/LTBI和确保及时完成治疗方面有所改善.
- NTIP数据有助于项目比较,资源分配和政策制定.
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