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一个有效的卫生系统方法来结束结核病:在越南实施双X战略
Anh L Innes1, Victoria Lebrun2, Gia Linh Hoang2
1FHI 360 Asia Pacific Regional Office, Bangkok, Thailand. anh.innes@gmail.com.
Global health, science and practice
|June 27, 2024
概括
越南 越南 越南 越南
科学领域:
- 公共卫生 公共卫生
- 传染病控制和控制传染病
- 诊断策略 诊断策略
背景情况:
- 由于COVID-19的影响,高结核病负担的国家在结核病消除方面面临挑战.
- 越南的双X (2X) 战略旨在加强早期结核病 (TB) 检测.
- 在疫情期间,去中心化和数字工具对于适应结核病服务至关重要.
研究的目的:
- 评估越南对结核病检测的双X (2X) 战略的有效性.
- 评估各种人群和环境中结核病查的收益率.
- 分析结核病诊断和预防治疗的整合.
主要方法:
- 2X策略结合了胸部X射线 (CXR) 和GeneXpert (Xpert) 测试.
- 查活动的目标是家庭接触者和社区和设施中的弱势群体.
- 用于CXR的计算机辅助诊断 (CAD) 和移动自我查应用程序.
主要成果:
- 用CXR进行查 (NNS) 需要的数量在自我查者中最低 (11),其次是基于设施的弱势群体 (19) 和基于社区的群体 (60).
- 在社区活动中,家庭接触的NNS数量更高 (154).
- CAD改善了CXR解释和Xpert转诊;结核病感染和疾病评估增加了预防性治疗的资格.
结论:
- 2X战略有效地提高了越南的早期结核病检测和合理的Xpert使用.
- 该战略的适应性在COVID-19限制期间促进了结核病服务的获取.
- 这种方法通过接触弱势群体来支持流行后结核病的恢复.
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