在部落人口中发现结核病例的活跃病例的收益
Nirav Nimavat1, Niraj Pandit2, Kalpita Shringarpure3
1Community Medicine Dept., Gujarat Adani Institute of Medical Science, Bhuj, Gujarat, India.
The Indian journal of tuberculosis
|July 24, 2025
概括
印度的活跃病例发现 (ACF)
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:
- 结核病 (TB) 是包括印度在内的欠发达国家的主要死亡原因.
- 印度的目标是到2025年消除结核病,在可持续发展目标 (SDG) 中优先考虑这一目标.
- 积极病例查找 (ACF) 举措,涉及到户外调查,对于识别结核病例来实现消除目标至关重要.
研究的目的:
- 评估在印度一个部落地区积极病例查找 (ACF) 的有效性.
- 评估ACF对特定部落社区结核病例检测和报告的影响.
主要方法:
- 对通过ACF过程确定的所有结核病例进行了横截面分析.
- 该研究涵盖了小田乌德普尔区内的所有村庄,重点关注部落社区.
- 数据收集范围从2019年到2023年,经由卫生和家庭福利部的资助和批准.
主要成果:
- 该ACF计划每年发现大量的假定结核病例,从2956到3828.
- 由于ACF的活动,结核病患者的诊断和治疗入学人数增加,年度数据在89至118之间.
- 抗肺炎查收益率呈上升趋势,到2022年达到每百万人口1002人,这表明病例检测的提升.
结论:
- 活跃病例发现 (ACF) 显著增加了受研究的部落地区的结核病例报告.
- 在部落人口中,ACF的策略在识别和诊断更多结核病例方面被证明是有效的.
- 持续的ACF努力对于实现脆弱社区的全国结核病消除目标至关重要.
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