印度2021年区分结核病护理指南:实施和采取行动是否可行?
Hemant Deepak Shewade1, Asha Frederick2, Madhanraj Kalyanasundaram1
1ICMR - National Institute of Epidemiology (ICMR-NIE), Chennai, India, 600077.
The Indian journal of tuberculosis
|June 15, 2025
概括
在印度实施16指标结核病 (TB) 严重性评估具有挑战性. 虽然大多数早期死亡发生在重病患者中,但只有70%被评估,这表明在资源有限的环境中存在可行性问题.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 临床医学 临床医学
背景情况:
- 印度国家结核病 (TB) 消除计划建议对所有结核病患者进行16指标严重性评估.
- 该指南涉及临床,实验室和放射学评估,旨在确定有资格接受住院护理的患者.
- 这一全州指导的实施正在等待.
研究的目的:
- 评估实施和根据16指标结核病严重性评估采取行动的可行性.
- 确定被评估并有资格接受住院护理的患者比例.
- 分析重病和非重病结核病患者的早期死亡率.
主要方法:
- 在一个月的时间里 (2022年6月5日至7月5日) 进行了一项横截面研究.
- 从泰米尔纳德邦的八家三级医院报告的药物敏感结核病的成年人 (≥15岁) 进行了评估.
- 对患者进行了早期死亡 (2个月内) 的随访.
主要成果:
- 在557名通报的结核病患者中,有399名 (71.6%) 接受了全面评估.
- 共有246名 (61.7%) 患者被确定为重病患者,有资格接受住院护理.
- 早期死亡发生在9.3%的重病患者中,而非重病患者中为0.7%.
结论:
- 16指标结核病严重性评估的可行性是可疑的,特别是在资源有限的环境中.
- 几乎所有的早期结核病死亡都集中在被认定为重病的患者中.
- 为了有效实施,需要改善临床/诊断能力和医疗保健基础设施.
相关概念视频
01:28Pulmonary Tuberculosis V
249
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
249
01:26Pulmonary Tuberculosis IV
212
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
212
01:29Pulmonary Tuberculosis I
335
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
335
01:28Pulmonary Tuberculosis II
389
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
389
01:31Pulmonary Tuberculosis III
459
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
459
01:26Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K