向其他国家转移的结核病患者的护理连续性 - CureTB计划,2016-2023年
MMWR. Morbidity and mortality weekly report
|January 22, 2026
概括
在CureTB计划成功地促进结核病 (TB) 治疗完成 79% 的转诊患者在国际上搬迁. 在出院后及时启动护理显著改善了治疗成功率,突出了该计划.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 全球卫生安全 全球卫生安全
背景情况:
- 国际搬迁对结核病 (TB) 治疗的坚持和完成构成重大障碍.
- 不完整的结核病治疗增加了疾病传播和发展耐药结核病菌株的风险.
- 疾病控制和预防中心 (CDC) 的CureTB计划旨在确保转移结核病患者的护理连续性.
研究的目的:
- 评估CureTB计划在促进国际转移的患者完成结核病治疗方面的有效性.
- 评估及时开始护理对转诊患者结核病治疗结果的影响.
主要方法:
- 分析2016年至2023年的CureTB转案数据,包括转案请求和结果.
- 检查通过CureTB计划获得转诊的患者的治疗完成率.
- 治疗完成率的分层根据患者搬迁后开始护理的时间进行分层.
主要成果:
- 在2016年至2023年期间,CureTB计划收到了6944份转诊请求,其中1741名患者被转诊治疗结核病.
- 总体而言,79%的转诊患者在转诊后12个月内完成了结核病治疗.
- 当护理在出发后30天内开始时,治疗完成率最高 (91%),随着护理开始的延迟越长,治疗的完成率就会下降.
结论:
- 治疗结核病计划有效地支持转移患者的结核病护理连续性,有助于提高治疗完成率.
- 在国际转移后及时启动结核病治疗对于成功治疗结果至关重要.
- 治愈结核病计划是国际努力减少结核病传播和推进结核病消除目标的宝贵典范.
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