儿童和青少年肺结核报告,2008-2019年与2020-2023年相比,巴西
Antônio Candido Paiva Figueiredo Dos Santos1, Daniele Maria Pelissari2, Marcos Otávio Brum-Antunes1
1School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Avenida Ipiranga 6681, School of Medicine, 2nd floor, Porto Alegre, 90619-900, Rio Grande do Sul state, Brazil.
Bulletin of the World Health Organization
|March 2, 2026
概括
由于COVID-19大流行,巴西儿童和青少年的结核病报告率增加了. 由于服务中断和诊断不足,这种增长阻碍了全球消除结核病的努力.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- COVID-19大流行严重扰乱了全球卫生服务,包括结核病 (TB) 控制计划.
- 儿童和青少年特别容易感染结核病,疾病的破坏可能导致传播增加和诊断不足.
- 了解大流行对儿科结核病的影响对于评估"终结结核病战略"的进展至关重要.
研究的目的:
- 评估COVID-19大流行对巴西儿童和青少年 (0-14岁) 结核病 (TB) 通知和死亡率的影响.
- 为了比较巴西的流行前和流行后期间的结核病报告率和死亡率.
主要方法:
- 一项利用中断时间序列分析的生态研究.
- 数据来源于 DATASUS,巴西全国卫生部数据库.
- 结核病报告率 (总体,实验室确认,军,脑膜) 和与结核病相关的死亡率在流行前 (2008年1月至2020年2月) 和流行后 (2022年1月至2023年12月) 期间的比较.
主要成果:
- 在流行后,结核病通报总数增加了45.6% (每10万人口5.75至8.37).
- 实验室确认的结核病发病率几乎翻了一番 (94.2%的增长),而千叶/脑膜结核病发病率上升了31.8%.
- 这一年龄组的结核病相关死亡率在流行后增加了55.6%.
结论:
- 与COVID-19大流行相关的干扰导致巴西儿童和青少年的结核病通知率增加,可能是由于诊断不足后的传播率较高.
- 这对实现"终结结核病战略"目标造成了重大挫折.
- 需要采取紧急干预措施,以应对疫情后儿科结核病的复苏.
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