在2024年7月至12月的乌干达mopox疫情期间,延迟患者隔离和相关因素
Hannington Katumba1, Richard Migisha1, Allan Komakech2
1Uganda Public Health Fellowship Program, Uganda National Institute of Public Health, Kampala, Uganda.
概括
大多数mopox患者面临延迟的隔离,与年龄较大和自我治疗有关. 提高诊断技能和风险沟通对于更快地制mopox至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染病控制和控制传染病
背景情况:
- 快速检测和隔离mpox (mpox) 患者对于减少传播至关重要.
- 了解患者隔离延迟及其促成因素对于有效应对疫情至关重要.
研究的目的:
- 评估mopox患者隔离的延迟情况,并确定乌干达疫情爆发期间 (2024年7月至12月) 的相关因素.
- 通过突出及时隔离的关键障碍,为公共卫生应对工作提供信息.
主要方法:
- 在乌干达两个中心隔离的实验室确认的mopox病例的研究 (7月24日至2024年12月29日).
- 隔离时间 (TTI) 被计算并分类为"短" (0-3天) 或"延迟" (>3天).
- 使用多变量逻辑回归来确定与延迟TTI相关的因素,并补充了定性访谈.
主要成果:
- 在832名mopox患者中,91%的人经历了延迟的TTI.
- 与延迟TTI相关的因素包括18岁或以上 (aOR=2.6) 和自我治疗 (aOR=5.4).
- 定性数据显示,误诊和经济担忧是延迟寻求护理的原因.
结论:
- 大多数mopox患者在隔离时面临显著的延迟,主要与年龄和自我治疗实践有关.
- 医护人员的错误诊断和个人经济因素是延迟寻求护理的关键驱动因素.
- 建议加强风险沟通和加强前线诊断能力,以改善早期mopox病例检测和管理.
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