在结核病治疗后的死亡率,格鲁吉亚,美国,2008-2019年
Emerging infectious diseases
|October 24, 2024
概括
完成结核病 (TB) 治疗的美国出生的个人死亡率更高. 改善结核病幸存者获得初级和艾滋病毒治疗的机会,对于预防死亡至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 关于美国结核病 (TB) 治疗后死亡率的数据有限.
- 了解结核病幸存者的死亡风险对于改善长期结果至关重要.
研究的目的:
- 分析美国乔治亚州成年人结核病治疗结束后的死亡率.
- 为了确定结核病治疗后与死亡相关的风险因素.
主要方法:
- 追溯队列研究分析了从2008年1月1日到2019年12月31日的数据.
- 利用国家死亡指数获取治疗后死亡率数据.
- 计算标准化死亡率 (SMRs),将结核病幸存者与普通人口进行比较.
主要成果:
- 在3,182名结核病治疗幸存者中,7.3%的人在2019年12月31日之前死亡.
- 结核病队伍的整体年龄和性别调整后的SMR为0.89.
- 美国出生的结核病幸存者SMR显著更高,为1.56.
- 与死亡率增加相关的因素包括美国出生的身份,艾滋病毒联合感染,酒精使用,糖尿病和末期病.
结论:
- 结核病治疗的幸存者,特别是美国出生的个人,面临着高死亡风险.
- 加强与初级保健和综合性艾滋病毒服务的联系可能会减少治疗后的死亡.
- 需要进一步的研究和有针对性的干预措施来改善结核病患者的长期存活率.
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