Tuberculosis in prison: What about after release? The example of French Guiana.

IF 2.3 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-03-26 DOI:10.1080/17441692.2024.2332969

Moise Niaux, Mathilde Boutrou, Marie Daniel, Vanessa Schiemsky, Evelyn Vierendeels, Félix Djossou, Mathieu Nacher, Florence Huber, Timothée Bonifay

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引用次数: 0

Abstract

Introduction: Tuberculosis is a major cause of mortality worldwide. Prisoners in Guiana have multiple risk factors. The primary objective of this study was to describe tuberculosis occurring in prison and after release in French Guiana between 2008 and 2020. Secondary objectives were to identify tuberculosis risk factors and determine annual incidences.

Methods: A retrospective cohort study of tuberculosis cases was carried out at the Guiana prison between 2008 and 2020. Data were collected from prison registers and cross-referenced with the list of tuberculosis notifications in French Guiana.

Results: A total of 36 cases of tuberculosis were studied. Incidence was high, at 263/100,000 per year, higher than elsewhere in France and comparable to that in Brazil. Despite visibly effective screening on entry, with little evidence of intra-prison circulation of tuberculosis, 39% of patients were diagnosed within two years of leaving prison (76% were symptomatic). This could be explained by the high prevalence of latent forms (LTI).

Discussion: Continued screening on entry, in combination with annual radiological and clinical screening, and reinforced follow-up on release seem indicated to improve patient management and the search for possible LTI.

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监狱中的结核病：出狱后怎么办？以法属圭亚那为例。

导言：结核病是导致全球死亡的一个主要原因。圭亚那的囚犯有多种风险因素。这项研究的主要目的是描述 2008 年至 2020 年期间法属圭亚那监狱中和出狱后发生的结核病。次要目标是确定结核病的风险因素并确定每年的发病率：方法：2008 年至 2020 年期间，在圭亚那监狱对结核病病例进行了回顾性队列研究。数据来自监狱登记簿，并与法属圭亚那结核病通报清单进行了交叉对比：共研究了 36 例肺结核病例。发病率较高，为每年 263 例/100,000 人，高于法国其他地区，与巴西的发病率相当。尽管在入狱时进行了明显有效的筛查，几乎没有证据表明结核病在监狱内部传播，但仍有 39% 的患者在离开监狱两年内被确诊（76% 的患者无症状）。这可能是由于潜伏肺结核（LTI）的高发病率造成的：讨论：继续在入狱时进行筛查，结合每年的放射学和临床筛查，并在出狱后加强随访，似乎可以改善对患者的管理，并寻找可能的潜伏肺结核。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Global Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.50

自引率

3.00%

发文量

120

期刊介绍： Global Public Health is an essential peer-reviewed journal that energetically engages with key public health issues that have come to the fore in the global environment — mounting inequalities between rich and poor; the globalization of trade; new patterns of travel and migration; epidemics of newly-emerging and re-emerging infectious diseases; the HIV/AIDS pandemic; the increase in chronic illnesses; escalating pressure on public health infrastructures around the world; and the growing range and scale of conflict situations, terrorist threats, environmental pressures, natural and human-made disasters.