印度亚国家结核病流行调查的方案影响
G Prathiksha1, S Selvaraju1, K Thiruvengadam1
1ICMR-National Institute for Research in Tuberculosis, Chennai.
概括
在泰米尔纳德邦.
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:
- 地方结核病 (TB) 估计对于有针对性的结核病控制至关重要.
- 了解当地的结核病流行病学可以为有效的公共卫生干预提供信息.
研究的目的:
- 估计印度泰米尔纳德州微生物学确认的肺结核 (MCPTB) 的患病率.
- 评估患病率与报告率 (P:N) 并确定结核病的风险因素.
- 评估病例检测策略和寻求健康的行为.
主要方法:
- 这是一项对泰米尔纳德州143,005名个人进行的横截面调查.
- 查结核病症状和胸部X射线 (CXR),随后进行Xpert,涂抹和液体培养检测.
- 分析风险因素,P:N比率和寻求医疗保健的行为.
主要成果:
- 每10万人口中,MCPTB的患病率为212例.
- P:N比率为2.05,表明明显的不足.
- 低体重指数和糖尿病占人口归因部分的54.15%.
- 39%的结核病例无症状,并通过CXR检测到.
- 只有26.9%的有症状的个体寻求医疗保健.
结论:
- 优先考虑CXR查,以早期发现结核病并减少传播.
- 升级分子测试以提高病例发现产量.
- 开发创新的健康教育策略,以改善寻求健康的行为.
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