巴拉圭土著人口中的结核病度,2018-2022年:基于人口的回顾性研究
Angélica Medina1, Jacob Sussman2, Natalia Sosa1
1Programa Nacional de Control de la Tuberculosis, Asunción, Paraguay.
Lancet regional health. Americas
|June 23, 2025
概括
巴拉圭结核病 (TB) 发病率正在上升,不成比例地影响着监禁和土著人口. 对于这些弱势群体,需要紧急扩大结核病诊断,治疗和预防.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染病控制和控制传染病
背景情况:
- 全球结核病 (TB) 发病率有所下降,但巴拉圭的发病率有所增加.
- 2018年报告系统提供了巴拉圭结核病趋势的新数据.
- 识别高风险人群和地理区域对于结核病控制至关重要.
研究的目的:
- 通过使用新的报告系统,分析巴拉圭2018年至2022年的结核病趋势.
- 确定结核病发病率高的弱势群体和地理区域.
- 评估GeneXpert测试访问的趋势.
主要方法:
- 对巴拉圭国家肺结核控制计划 (NPTC) 于2018年至2022年期间报告的结核病例进行回顾性研究.
- 结核病病例通知的空间和人口分析.
- 在特定人群中量化结核病相对风险.
主要成果:
- 在2018-2022年期间,超过13,700例结核病病例被报告.
- 17%的病例发生在被监禁的人群中,12.7%发生在土著人群中.
- 在2022年,结核病的相对风险为囚犯的87%,土著人口的6.39.
结论:
- 结核病例集中在巴拉圭的囚犯和土著人口中.
- 这些群体面临着显著增加的结核病风险.
- 研究结果强调需要扩大结核病的诊断,治疗和预防,特别是在高风险群体.
相关概念视频
Pulmonary Tuberculosis II
387
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...
387
Pulmonary 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
Pulmonary Tuberculosis III
458
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:
458
Pulmonary 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
Pulmonary Tuberculosis IV
209
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...
209
Prevalence and Incidence
838
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
838


