C Ugwu, U Chukwulobelu, E Okeke, C Igboekwu, A Onyima, V Ibeziako, C Ebede, U Orjiagu, V Unamba
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Odds ratios (ORs) with associated 95% confidence intervals (CIs) are also reported.</p><p><strong>Results: </strong>Of 281 people with presumptive TB, 32 were diagnosed with TB; 21% (70/330) of wards identified at least one presumptive, while 5% (18/330) of the people were identified with TB. Peri-urban slums were most likely to identify presumptives (adjusted OR [aOR] 11.52, 95% CI 1.62-81.79), while Riverine areas were most likely to identify a person with TB (aOR 3.59, 95% CI 1.16-11.01).</p><p><strong>Conclusion: </strong>Integrating community TB case-finding into house-to-house vaccination campaigns can boost case detection. 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引用次数: 0
摘要
背景:2019年7月,在世卫组织的支持下,阿南布拉州(尼日利亚东南部)结核病控制规划将结核病病例发现与脊髓灰质炎疫苗接种运动结合起来。目的:利用现有的脊髓灰质炎结构改善社区的结核病病例发现。设计:疫苗接种小组接受了培训,询问每个家庭的结核病症状,并记录推定患有结核病的人的详细情况。社区结核病工作人员随后对确定的病例进行追踪,以便随后进行样本收集。我们报告了检测到的数字,以及报告结核病患者的病房比例。回归分析用于估计病区特征与报告之间的关系。比值比(ORs)和相关的95%置信区间(CIs)也被报道。结果:在281例推定结核病患者中,32例被诊断为结核病;21%(70/330)的病房确定了至少一种推定,而5%(18/330)的人被确定患有结核病。城市周边的贫民窟最有可能发现推定结核病患者(调整后的OR [aOR] 11.52, 95% CI 1.62-81.79),而河流地区最有可能发现结核病患者(aOR 3.59, 95% CI 1.16-11.01)。结论:将社区结核病病例发现纳入挨家挨户的疫苗接种运动可以促进病例发现。事实证明,这种做法在常规保健服务长期不足的地区是有效的。
Integrating TB screening into house-to-house polio vaccination campaigns.
Setting: In July 2019, the Anambra State (south-east Nigeria) TB Control Programme implemented the integration of TB case-finding with the polio vaccination campaign with the support of the WHO.
Objective: To improve TB case-finding from communities leveraging already existing polio structures.
Design: Vaccination teams were trained to ask for symptoms of TB in each household and to document details of people presumed to have TB. Community TB workers subsequently tracked those identified for subsequent sample collection. We report the numbers detected, and the proportion of wards that reported people with TB. Regression analyses were used to estimate the relationship between ward characteristics and reporting. Odds ratios (ORs) with associated 95% confidence intervals (CIs) are also reported.
Results: Of 281 people with presumptive TB, 32 were diagnosed with TB; 21% (70/330) of wards identified at least one presumptive, while 5% (18/330) of the people were identified with TB. Peri-urban slums were most likely to identify presumptives (adjusted OR [aOR] 11.52, 95% CI 1.62-81.79), while Riverine areas were most likely to identify a person with TB (aOR 3.59, 95% CI 1.16-11.01).
Conclusion: Integrating community TB case-finding into house-to-house vaccination campaigns can boost case detection. This approach proved effective in areas perennially underserved by routine healthcare services.
期刊介绍:
Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.