大规模筛查足以控制厄瓜多尔监狱中的结核病吗?

Q3 Medicine
I. Valcárcel-Pérez, J. Molina, Z. Fuentes
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引用次数: 1

摘要

摘要目的评价厄瓜多尔囚犯结核病大规模筛查活动。材料和方法对2016年1月至12月期间进入厄瓜多尔两所监狱的囚犯中检测到的慢性咳嗽(CC)的横断面研究(n=12365)。用均匀性检验分析CCs的时间分布及其与PTB诊断病例的关系,计算PTB的患病率。采用逻辑回归模型来确定PTB阳性的因素修饰因子。结果慢性咳嗽患者1.332例,阳性率17.3%(95%CI,15.1-19.4),患病率1.9%(95%CI为1.6-2.1);CC与PTB病例呈正相关。阳性率与密度最高的监狱有关(调整OR 3.8;95%CI,2.5-5.5)。讨论大规模筛查活动不足以控制厄瓜多尔监狱的结核病。发现的发病率很高。有必要加强诊断过程,以治疗所有发现的病例,从而打破传播链。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is mass screening enough to control tuberculosis in Ecuador’s prisons?
Abstract Objective To evaluate mass screening campaigns for tuberculosis in prisoners in Ecuador. Material and method Cross-sectional study of Chronic Cough (CC) detected amongst inmates who entered two prisons in Ecuador between January and December 2016 (n = 12,365). The time distribution of the CCs was analyzed with the uniformity test and its relationship with the diagnosed cases of PTB, the prevalence of PTB was calculated. A logistic regression model was performed to determine the factors modifiers of PTB positivity. Results 1.332 chronic cougher were recorded, the positivity rate was 17.3% (95% CI, 15.1-19.4), and the prevalence was 1.9% (95% CI, 1.6 - 2.1). There was an absence of uniformity in the detection and diagnosis by epidemiological weeks; there was a positive correlation between CC and PTB cases. The positivity rate was associated with the prison with the highest density (adjusted OR 3.8; 95% CI, 2.5-5.5). Discussion Massive screening campaigns are not enough to control tuberculosis in Ecuador’s prisons. The incidence found is high. It is necessary to strengthen the diagnostic process to treat all the cases found and thus break the chain of transmission.
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来源期刊
CiteScore
1.30
自引率
0.00%
发文量
11
审稿时长
15 weeks
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