Assessment of the Prevalence of Tuberculosis among the High Risk Populations of Bera, Pabna

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Abstract

The study was conducted to evaluate the prevalence of tuberculosis among the populations of Bera, Pabna from January to December 2021. Samples (Sputum) were collected from 09 different unions of susceptible pulmonary TB patients of different ages and occupations by field health workers in Bera, Pabna using a pretest and questionnaire. A gross of 4353 samples (January-December 2021) was tested by fluorescent smear microscope and GeneXpert, in the middle of them, 2442 (56%) were male, and the rest of 1911 (44%) were female. We stained 2577 samples and 151 participants tested positive. By the GeneXpert method, we tested 1776 samples and 266 tested positive. We identify a total of 417 sputa positive, of these 253 (61%) were male and 164 (39%) were female. We found a total of 542 positive TB patients from January to December 2021, in the middle of them, Bacteriologically confirm 405 (75%), Clinically diagnosed 25 ( 5% ), Extrapulmonary 78 (14%), Retreatment 32 (6%) and Failure 2 (0%). The maximum positive TB patient's age was >65 years. In comparisons between 2020 and 2021, the number of positive TB patients in 2020 was 408, and in 2021 was 542. Microscopy and Xpert test together to make it possible for large amounts of presumptive tests and diagnosed easily to determine the prevalence of tuberculosis. The overall prevalence of pulmonary tuberculosis among the participants was 9.6%.
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巴布纳省贝拉高危人群结核病患病率评估
该研究旨在评估2021年1月至12月期间巴布纳省贝拉省人群中结核病的流行情况。采用预测法和问卷调查法,对巴布纳省贝拉市09例不同年龄、不同职业的肺结核易感患者进行痰液采集。采用荧光涂片显微镜和GeneXpert对4353例样本(2021年1 - 12月)进行检测,其中男性2442例(56%),女性1911例(44%)。我们对2577份样本进行了染色,151名参与者检测呈阳性。通过GeneXpert方法,我们检测了1776个样本,其中266个呈阳性。共发现痰液阳性417例,其中男性253例(61%),女性164例(39%)。我们在2021年1 - 12月共发现542例结核阳性患者,其中细菌学确诊405例(75%),临床诊断25例(5%),肺外78例(14%),再治疗32例(6%),失败2例(0%)。结核患者的最大阳性年龄为60 ~ 65岁。在2020年和2021年的比较中,2020年结核病阳性患者人数为408人,2021年为542人。显微镜检查与Xpert检查相结合,使大量的推定检查成为可能,并便于诊断确定结核病的流行程度。参与者中肺结核的总体患病率为9.6%。
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