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塔吉克斯坦监狱结核病查的收益率
IJTLD open
|August 12, 2024
概括
塔吉克斯坦监狱的结核病 (TB) 查发现,结核病的发病率是一般人口的五倍. 有症状的人患结核病的可能性更高,这凸显了监狱需要加强胸部X射线容量.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 监狱健康监狱的健康
背景情况:
- 与普通人口相比,结核病 (TB) 的患病率在监狱中显著增加.
- 关于塔吉克斯坦监狱系统内结核病查有效性的数据有限.
- 这项研究通过报告塔吉克监狱的结核病查结果来解决知识差距.
研究的目的:
- 评估通过在塔吉克斯坦监狱的系统查发现的结核病例的产量和特征.
- 评估结核病查算法在高风险监禁人口中的有效性.
- 为结核病预防和控制在惩戒机构中的战略提供信息.
主要方法:
- 从2022年7月到2023年9月,实施了系统的结核病查.
- 查遵循基于世卫组织的算法,适应当地环境.
- 查收益率被计算出来,结果用千二测试进行分析.
主要成果:
- 在7223次查中检测到31例结核病例,总率为0.43%.
- 与无症状个体 (0.03%) 相比,结核病症状 (3.4%) 的个体的查收益率明显高.
- 对药物敏感的结核病占17例,抗药性结核病占8例,其中6例被诊断为临床结核病.
结论:
- 塔吉克斯坦监狱中的结核病发病率是普通人口的五倍.
- 症状存在与增加结核病诊断可能性有很强的相关性.
- 建议提高胸部X射线容量,以改善监狱环境中的结核病检测和控制.
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