在尼日利亚游牧人口中发现活跃结核病例的结果
S Gande1, C Ogbudebe1, B Odume1
1KNCV Tuberculosis Foundation Nigeria, Abuja, Nigeria.
Public health action
|June 9, 2025
概括
在尼日利亚游牧民中积极发现结核病例,发现了850例,改善了结核病通知. 这一策略对于在尼日利亚寻找失踪的结核病例至关重要.
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
- 全球健康 全球健康
背景情况:
- 结核病 (TB) 仍然是一个重大的全球卫生挑战,每年有数百万病例未被诊断出来.
- 尼日利亚对失踪的结核病例的全球负担做出了重大贡献,突出了针对性干预的必要性.
- 游牧人口通常被认为是患结核病的高风险人群,原因是他们的移动生活方式和医疗保健获取的潜在障碍.
研究的目的:
- 评估尼日利亚Bauchi州游牧人口中活跃结核病例发现 (ACF) 的有效性.
- 为了确定这一特定高风险群体内的活跃结核病例的产量.
- 评估 ACF 在游牧社区对该地区整体结核病报告率的贡献.
主要方法:
- 2020年6月至2023年12月期间,Bauchi州的八个地方政府区域实施了积极的案例调查 (ACF).
- 经过培训的社区志愿者对游牧民族进行了可疑结核病的查.
- 唾液样本进行了结核病检测,确诊病例与社区志愿者的治疗有关.
主要成果:
- 共有43070名游牧民,包括7537名儿童,接受了查.
- 假定结核病在12,387人中被检测出来,有850 (6.9%) 确诊的活跃结核病例,其中包括61名儿童.
- 几乎所有 (99%) 确诊的活跃结核病病例都开始接受治疗,游牧民族占巴丘州结核病报告总数的5%.
结论:
- 在Bauchi州的游牧人口中积极寻找病例 (ACF) 显著提高了结核病报告率.
- 这种有针对性的ACF策略有效地识别了活跃结核病的个体,否则可能会被错过.
- 这些发现强调了吸引流动和高风险人群的重要性,以应对失踪结核病例的全球挑战.
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