在班加罗尔的一家三级医院的住院患者中加强结核病例检测的机会性查
B N Sharath1, M D Sangeetha1, P K Sreenath Menon1
1Department of Community Medicine, ESIC Medical College, and PGIMSR, Rajajinagar, Bangalore, Karnataka, India.
概括
在班加罗尔医院检查结核病患者是可行的. 这种方法有助于检测结核病例,有助于实现国家结核病消除计划 (NTEP) 的目标.
科学领域:
- 公共卫生
- 传染性疾病
- 临床医学
背景情况:
- 结核病 (TB) 构成了严重的全球卫生负担,印度通过国家结核病消除计划 (NTEP) 积极致力于消除它.
- 尽管有持续的努力, 消除结核病仍然是一个挑战, 需要改善医疗保健机构的病例检测策略.
研究的目的:
- 在班加罗尔的一家三级医院的住院患者中评估四种关键结核病症状的流行情况.
- 确定所需的查数量 (NNS) 来识别入院患者中的一个结核病例.
主要方法:
- 在2023年4月至6月期间,在班加罗尔一家拥有750张床位的三级医院进行了跨度研究.
- 医疗,急诊和儿科病房的住院患者被查症状,包括长期咳,发烧,夜间出汗和体重减轻.
- 通过验证的问卷收集了数据,并将阳性病例转介给诊断确认.
主要成果:
- 在1497名查患者中,有272名 (18%) 患有结核病相关症状.
- 通过唾液检查和胸部X射线,31名患者 (11. 3% 的有症状患者) 确诊患有结核病.
- 需要进行查 (NNS) 来识别一个结核病例的数量是48个.
结论:
- 在关键部门每天对入院患者进行结核病症状查是可行的策略.
- 这种查方法有望融入医学院, 提高结核病例的发现率.
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