阿拉梅达县的晚期肺结核:十年发生率和危险因素
Rachel Marusinec1, Tessa Clifton2, Amit S Chitnis1
1Tuberculosis Section, Division of Communicable Disease Control and Prevention, Alameda County Health, Public Health Department, 1100 San Leandro Blvd, San Leandro, CA 94577, USA.
Journal of clinical tuberculosis and other mycobacterial diseases
|September 3, 2024
概括
晚期肺结核 (APT) 影响了超过12%的病例,与吸毒和糖尿病有关. 针对有风险群体的有针对性的干预措施对于改善结核病结果至关重要.
科学领域:
- 肺部医学 肺部医学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 晚期肺结核 (APT) 表示诊断延迟并继续传播.
- 了解APT趋势对于高结核病 (TB) 负担地区至关重要.
研究的目的:
- 描述十年来APT的趋势.
- 为了确定与美国县的APT相关的社会人口和临床因素.
主要方法:
- 对微生物学和临床确诊的结核病例 (2010-2019) 的分析.
- 通过胸部成像,化和阳性唾液涂抹来定义APT.
- 多变量逻辑回归用于识别相关因素.
主要成果:
- 在997例肺结核病例中,有12.8%的人患有APT.
- 与最近使用毒品,糖尿病和艾滋病毒阴性状态相关的APT.
- 美国出生改变了APT和风险因素之间的关联.
结论:
- APT占结核病病例的很大一部分.
- 干预措施应针对最近使用毒品和糖尿病的个人.
- 文化和语言因素,考虑到美国的出生,对于护理准入很重要.
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