在阿富汗坎大哈的结核病患者中诊断延迟及其预测因素:一项横截面分析研究
Hazratullah Bariz1, Muhammad Haroon Stanikzai1, Ghulam Mohayuddin Mudaser2
1Department of Public Health, Faculty of Medicine, Kandahar University, Kandahar, Afghanistan.
International journal of mycobacteriology
|September 15, 2025
概括
结核病 (TB) 的诊断延迟仍然是阿富汗的一个挑战. 教育水平低,肺外结核病和自我治疗预测结核病的诊断和治疗延迟.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 结核病 (TB) 的诊断延迟导致预后不佳和传播增加.
- 这些延迟在发展中国家普遍存在,阿富汗的数据有限.
- 这项研究调查了阿富汗坎大哈的诊断延迟及其预测因素.
研究的目的:
- 评估新诊断结核病患者诊断延迟的程度.
- 确定患者和医疗保健系统相关的诊断延迟预测因素在阿富汗坎大哈.
主要方法:
- 从2025年2月到5月进行了一项多中心,横截面的研究.
- 新诊断的结核病患者 (≥18岁) 从六个医疗机构招募.
- 多变量后勤回归确定了患者和医疗保健系统延迟的预测因素.
主要成果:
- 患者和医疗保健系统的延迟分别发生在44%和59.4%的病例中.
- 延迟的重要预测因素包括教育程度低,肺外结核病,与设施的距离更大,以及自我治疗史.
结论:
- 结核病诊断延迟是坎大哈省的一个重大公共卫生问题.
- 患者教育,结核病类型,医院附近,以及自我治疗都会影响诊断的及时性.
- 针对这些因素可以帮助减少阿富汗的结核病诊断延迟.
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