流行病学和社会人口统计学因素对印度安巴拉肺外结核病的影响
Joy Singhal1, Ramesh Kumar Verma2
1Nodal Officer, Chest and TB Hospital, Ambala, Haryana, India.
The Indian journal of tuberculosis
|August 7, 2024
概括
肺外结核 (EPTB) 占印度近30%的结核病例,与肺结核相比,具有不同的患者特征和危险因素. 针对性干预对于印度2025年结核病消除目标至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 印度的目标是到2025年消除结核病 (TB).
- 强调肺外结核 (EPTB) 对于实现这一目标至关重要.
研究的目的:
- 为了比较患者的特征和肺结核治疗与EPTB.
- 利用印度安巴拉地区的数据.
主要方法:
- 对12985名结核病患者病历进行了回顾性分析.
- 数据来源于NIKSHAY数据库.
- 肺结核和EPTB患者个人资料和治疗的比较分析.
主要成果:
- EPTB占所有结核病例的29.7%;肺结核是最常见的亚型 (27%).
- 女性性别,年龄较小,非糖尿病状态和较高的BMI与EPTB有关.
- 艾滋病毒感染增加了肺结核和EPTB的几率;糖尿病没有增加EPTB的几率.
- 在私营部门和公共部门之间发现了诊断差异,EPTB的微生物确认率低至7.1%.
结论:
- 专注于EPTB与肺结核结核病一起,对于印度结核病消除战略至关重要.
- 患者个人资料和管理的差异需要有针对性的干预措施.
- 提高诊断准确度和减少跨部门差异是必不可少的.
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