在结核病监测中,大量私人咳糖销售是否可以作为遗漏结核病通知的代理?
K Gupta1, H D Shewade2, P Manickam2
1Department of Community Medicine, Geetanjali Medical College and Hospital, Rajasthan, India.
Public health action
|December 11, 2025
概括
印度拉贾斯坦邦的咳糖销售与结核病 (TB) 通知相关,这表明可能是遗漏结核病病例的潜在代理. 这表明私营部门的结核病报告存在重大差距.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染病监测 传染病监测 传染病
背景情况:
- 印度拉贾斯坦邦面临着高结核病 (TB) 负担,结核病流行率和报告通知之间存在显著的差距.
- 这种差异凸显了需要创新的策略来识别未被诊断的结核病患者.
- 咳是结核病的主要症状,广泛的非处方咳糖销售是未被发现的结核病例的潜在指标.
研究的目的:
- 调查拉贾斯坦邦私营部门的咳糖销售和结核病 (TB) 通知之间的相关性.
- 评估咳糖销售的潜力,作为识别遗漏的结核病通知的代理.
主要方法:
- 一项生态研究分析了2021年1月至2023年3月间的拉贾斯坦邦 (n=33) 地区级数据.
- 该研究通过将估计的结核病治疗人数与私营部门的通知进行比较来计算遗漏的结核病通知率.
- 分析了关于咳糖销售和每10万人口的结核病报告率的季度数据.
主要成果:
- 在咳糖销售和结核病通知之间观察到正相关性 (总体r=0.43,私营部门r=0.63).
- 在咳糖销售和错过的私人结核病通知之间也发现了显著的正相关性 (r=0.39).
- 据估计,私营部门错过的结核病通知数量是报告的通知数量的七倍.
结论:
- 咳糖的销售可以作为一个有价值的代理指标跟踪结核病 (TB) 在销售量高的地区.
- 建议实施基于私营部门的结核病监测系统,包括基于药房的持续咳查.
- 这种方法可以帮助弥合结核病例检测的差距,并改善高负担地区的公共卫生结果.
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