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在拘留入院期间对活性肺结核查的诊断准确性:系统性审查
Stephanie Pape1, Kabiru Gulma1, Siddharudha Shivalli1,2
1Department of Global Health, Euclid University, Bangui, Central African Republic.
Journal of medicine and life
|October 23, 2024
概括
没有一项研究符合纳入标准,用于比较拘留中的结核病查工具. 全球需要更多的数据来完善监狱中的结核病控制策略.
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
- 刑事司法 卫生 刑事司法 卫生
背景情况:
- 被监禁的人面临传染病的高风险,包括活性肺结核 (PTB).
- 当前在入院时的查实践往往缺乏关于PTB状态的全面数据.
- 早期检测和治疗对于有效控制关押环境中的结核病至关重要.
研究的目的:
- 调查在拘留入院时使用的活性肺结核查测试的诊断准确性.
- 识别和比较各种结核病查工具在惩戒设施的有效性.
主要方法:
- 对2022年3月至2024年1月期间发表的研究进行了对多个数据库 (PubMed,Global Index Medicus,Cochrane Library) 和灰色文献的系统搜索.
- 纳入标准是广泛的,涵盖了各种研究设计,语言和地点,重点是对进入隔离室的个人进行结核病查.
- 使用 QUADAS-2 工具来评估包含的诊断准确性研究的质量.
主要成果:
- 总共有2,455个记录被选.
- 尽管进行了广泛的搜索,但没有一项研究符合网络对结核病查工具在拘留中诊断准确性的元分析的纳入标准.
- 然而,初步证据表明,选算法的应用存在差异.
结论:
- 在全球范围内,在拘留录取中使用的结核病查算法缺乏诊断准确性数据.
- 全球结核病倡议应优先考虑各种刑事司法系统的多地点研究,以收集这些重要数据.
- 基于此类数据的未来网络元分析可以为监禁中的结核病控制政策和公共卫生战略提供信息.
关键词:
95% CI,95% 的信心区间.AUC,曲线下的面积.在BCG,Bacille Calmette-Guérin中使用.CXR,胸部X射线图,胸部X射线图直接观察疗法 (DOTS) 是一种直接观察疗法.欧洲疾病预防和控制中心,欧洲疾病预防和控制中心.EPTB,肺外结核病 肺外结核病FL LPA,第一线线探测测试.FN,错误的负面.FP,错误的阳性结果H0,零假设 没有假设.H1,另一个假设.HBC,高负担国家艾滋病毒,人类免疫缺陷病毒.IGRA,干扰素-玛释放测试试验在LAM,Lipoarabinomannan中使用.低收入国家,中低收入国家和中小收入国家.LPA,线式探测试验 线式探测试验LTBI,潜伏性结核病感染多抗药结核病,多抗药结核病.NAAT,核酸放大试验 核酸放大试验国家管理局,网络元分析.皮科斯,人口,干预,比较,结果,设置PRISMA,系统审查和元分析的首选报告项目.普罗斯佩罗 (PROSPERO) 是系统审查的国际前性注册.肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB),肺结核 (PTB) 等.QUADAS-2,诊断准确性研究的质量评估 (修订工具)ROC,接收器的操作特征.结核病 结核病 结核病TB-LAMP,循环介导的同热放大器TN,真负的真负数.TP, 真正正的正数TST,结核病皮肤测试 (孟德尔 - 曼托克斯测试)世卫组织,世界卫生组织.早期诊断 早期诊断 早期诊断群众选 群众选 群众选 群众选监狱 监狱 监狱 监狱灵敏度和特异性 灵敏度和特异性结核病是一种肺结核病.相关概念视频
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