伊朗吸毒人群中肺结核患病率:系统回顾和荟萃分析

Hosein Rafiemanesh, Behrang Shadloo, Masoumeh Amin-Esmaeili, Yekta Rahimi, Jaleh Gholami, Afarin Rahimi-Movaghar
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引用次数: 0

摘要

背景:吸毒,特别是注射吸毒,与较高的结核病风险相关。本研究旨在系统地回顾伊朗吸毒人群(PWUD)中结核病的流行情况。方法:系统检索国际和国内数据库。所有提供1990年至2019年8月期间基于筛查试验和诊断的结核病患病率数据的研究都进行了评估。对注射吸毒者(PWID)中活动性结核病的患病率进行了荟萃分析。结果:总共纳入了9项研究。这些研究于1994年至2012年在伊朗31个省中的7个省进行。7项研究提供了1087名PWID患者中结核病诊断患病率的数据。在医院进行的研究中,结核诊断的总患病率为10.1% (95% CI: 4.5, 15.8),在其他环境中为0.54% (95% CI: 0.04, 1.04)。结论:本综述提示PWID患者的结核病患病率约为普通人群的40倍。然而,大多数纳入的研究是在吸毒者亚群中进行的,在推广研究结果时应谨慎。
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Prevalence of Tuberculosis among People Who Use Drugs in Iran: A Systematic Review and Meta-analysis
Background: Drug use, especially injecting drug use, is associated with a higher risk of tuberculosis (TB). This study aimed to systematically review the prevalence of TB among people who use drugs (PWUD) in Iran. Methods: A systematic search was conducted in international and national databases. All studies that provided data on the prevalence of TB among PWUD based on screening tests and diagnosis from 1990 up to August 2019 were assessed. Meta-analysis was performed on the prevalence of active TB among people who inject drugs (PWID). Findings: Overall, nine studies were included. The studies were carried out from 1994 to 2012 in seven out of the 31 provinces of Iran. Seven studies provided data on the prevalence of TB diagnosis among 1087 PWID. The pooled prevalence of TB diagnosis was 10.1% (95% CI: 4.5, 15.8) in studies carried out in hospitals and 0.54% (95% CI: 0.04, 1.04) in other settings. Conclusion: The present review suggests an approximately 40 times higher prevalence of TB among PWID compared to the general population. However, most of the included studies were conducted on a subpopulation of drug users, and caution should be exercised when generalizing the findings.
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