检索结果-南通市图书馆

Spatial Disparity in Availability of Tuberculosis Diagnostic Services Based on Sector and Level of Care in Nigeria

Journal of Tuberculosis Research 2023年第1期11卷 12-22页

作者： Bethrand Odume Sani Useni Egwuma Efo Degu Dare Elias Aniwada Nkiru Nwokoye Ogoamaka Chukwuogo Chidubem Ogbudebe Michael Sheshi Aminu Babayi Emperor Ubochioma Obioma Chijioke-Akaniro Chukwumah Anyaike Rupert Eneogu Debby Nongo KNCV Nigeria Abuja Nigeria KNCV Netherlands The Hague Netherlands Department of Community Medicine University of Nigeria Nsukka Nigeria NTBLCP FMOH Abuja Nigeria USAID Abuja Nigeria

Background: Delay in Tuberculosis (TB) diagnosis can contribute to late presentation, severe disease, and continued transmission. KNCV TB Foundation Nigeria through the United States Agency for International Development (USAID) funded the TB Local Organization Network (LON) 1 and 2 projects that explored the availability of Tuberculosis services based on sector and levels of care. Methods: TB Patient Pathway Analysis was carried out in 14 states comprising 92 facilities. It involved primary, secondary, and tertiary levels of health care in both the public and private sectors. This was a cross-sectional study under program implementation. Proforma was used to collect data on the available TB diagnostic services. Results: In public health facilities, GeneXpert was available at 100% in tertiary facilities in 8 (57%) states;up to 82% in 4 (33%) states, 50% available at secondary facilities in 2 states, and There is none at the primary facilities. Smear microscopy was available at 100% in tertiary facilities in 9 (64%) states and 3 (25%) states have 50% to 82%;secondary -10 (71%) states have > 70% at facilities;primary 1 (7%) state has it in 61% of facilities. Loop-mediated isothermal amplification (TB-LAMP) in tertiary 2 (17%) states have 20% and 100% respectively;secondary 4 (<30%) states have in 1 or 2 facilities;none for primary facilities. In private health facilities, 79% of states have Smear microscopy at both primary and secondary facilities, and only 2 states (14%) at tertiary facilities. Only 1 (7%) state has GeneXpert in all tertiary facilities, 2 (14%) states have secondary facilities, and 4 states in about 1% of facilities. TB LAMP was not available in any tertiary facility, one (7%) state at secondary with coverage of 1%, and 2 (14%) states at primary both with 4% overall facility coverage. Conclusions: There is an inequitable distribution of TB diagnostic services in both sectors and levels of care in Nigeria. TB care and control will improve with enhanced equitable distribution of TB diagnostic service

关键词： Tuberculosis Diagnostic Services Disparity Sector Level Nigeria

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

多阶段结核菌素调查设计:关于抽样的一些建议

引用

国际结核病与肺部疾病杂志 2000年第4期 101-107页

作者： N.J.D.Nagelkerke M.W.Borgdorff N.A.Kalisvaart J.F.Broekmans 王海东 Royal Netherlands Tuberculosis Association(KNCV) The Hague The Netherlands

背景:用儿童的结核菌素调查评价国家或地区的感染率时通常应用多阶段调查设计。这些调查需要在每个阶段的亚单位采用有效的抽样方法。目的:制定结核菌素调查抽样的指南。设计:应用抽样理论制定一个简单而有效的抽样方法来计划和分析结... 详细信息

背景:用儿童的结核菌素调查评价国家或地区的感染率时通常应用多阶段调查设计。这些调查需要在每个阶段的亚单位采用有效的抽样方法。目的:制定结核菌素调查抽样的指南。设计:应用抽样理论制定一个简单而有效的抽样方法来计划和分析结核菌素调查。样本大小的问题应予考虑。结果:制定了感染率和其可信区间的计算公式。讨论了样本大小。结论:我们建议用样本比例大小的抽样方法抽取区,这样有较大可能性将较大的单位包括在样本中。一个区内的每个学校有同样的可能性被包括在样本中,则采用单纯随机抽样方法进行学校抽样。每个学校所有符合条件的儿童均做皮内(Mantoux)试验。每个区试验的儿童人数应大致恒定,增加抽取区的数量要比每个区增加几百到几千儿童的数量更有效的提高估算的准确性。

关键词：结核菌素调查抽样

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

越南的家庭支出与结核病患病率:通过一套家庭指标进行预测

引用

国际结核病与肺部疾病杂志 2011年第4期6卷 174-179页

作者： N.B.Hoa E.W.Tiemersma D.N.Sy N.V.Nhung A.Gebhard M.W.Borgdorff F.G.J.Cobe-lens 彭红 National Tuberculosis Programme Hanoi Viet Nam Research Unit KNCV Tuberculosis Foundation The Hague Center for Poverty-Related Communicable Diseases Amsterdam Institute of Global Health and Development Academic Medical Center Amsterdam International Unit KNCV Tuberculosis Foundation The Hague Department of Clinical Epidemiology Biostatistics and Bioinformatics Academic Medical Center University of Amsterdam Amsterdam The Netherlands

目的:使用9项家庭特征,在越南全国结核病患病率调查过程研究结核病与家庭支出之间的关系。方法:为评估越南的结核病患病情况,于2006—2007年开展了全国分层整群抽样调查。在第二次越南生活水平调查中采用的9项家庭特征均以户为单位给予... 详细信息

目的:使用9项家庭特征,在越南全国结核病患病率调查过程研究结核病与家庭支出之间的关系。方法:为评估越南的结核病患病情况,于2006—2007年开展了全国分层整群抽样调查。在第二次越南生活水平调查中采用的9项家庭特征均以户为单位给予了评分。在越南生活水平调查数据库中,我们对这9项特征按人均家庭支出进行了回归分析;在我们的调查中,以系数来预测家庭支出水平(5分位级别),并评估其与结核病患病率的关系。结果:15岁以上人群的细菌学确诊结核病患病率为307/10万(95%可信区间为249～366)。经过对干扰因素的调整,发现结核病患病率与家庭支出水平相关:五分位为最低家庭支出水平人群的患病率比五分位为最高家庭支出水平人群高2.5倍(95%可信区间为1.6～3.9)。结论:通过9项家庭特征,我们能够非常准确地预测家庭支出水平。结核病患病率与估算的家庭支出水平之间存在显著相关性,提示在越南结核病与贫困相关。

关键词：越南患病率社会-经济结核病

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

移民筛查对结核病传播的影响

引用

国际结核病与肺部疾病杂志 2002年第2期 47-54页

作者： S.Verver D.van Soolingen M.W.Borgdorff 王海东 Royal Netherlands Tuberculosis Association (KNCV) The Hague National Institute of Public Health and the Environment (RIVM) Bilthoven The Netherlands

背景:荷兰对所有来自结核病高流行国家的移民必须进行X线筛查,2年内自愿接受每年年一次的随访。目的:评价移民筛查对减少结核病传播的作用。设计:所有在1994年至1999年间经细菌学确诊的、分支杆菌分离株显示为DNA指纹相同的结核病患... 详细信息

背景:荷兰对所有来自结核病高流行国家的移民必须进行X线筛查,2年内自愿接受每年年一次的随访。目的:评价移民筛查对减少结核病传播的作用。设计:所有在1994年至1999年间经细菌学确诊的、分支杆菌分离株显示为DNA指纹相同的结核病患者认为是同一簇。假设成簇是近期传播的结果,认为首发病例为传染源。在来自结核病高流行国家的肺结核患者中,传染源的特征与非成簇患者相比较。结果:在所入选的1438名患者中,187(13％)为簇中的首发病例。386(27％)在簇中但不是首发病例。865(60％)不成簇。成为一簇中首发病例的独立危险因素是:低年龄、国籍、早期诊断、长时间的治疗和没有并发肺外结核,Vnivarite分析显示:被动发现和在荷兰长期居住的患者成为一簇的首发病例分别比筛查发现和新入境的患者要多。而且,这些变量相关性很强。结论:移民的筛查可以减少结核病的传播。这个结果有居住时间混杂因素的部分影响。关键词:结核病;传播;分子流行病学;筛查;

关键词：首发病例危险因素传染源危险隐患感染源筛查结核病患者居住时间荷兰

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Patient Health Seeking Behavior and Choice of Place of Care among Tuberculosis Clients in Selected States in Nigeria

引用

Journal of Tuberculosis Research 2023年第4期11卷 149-161页

作者： Bethrand Odume Aminu Babayi Ogoamaka Chukwuogo Chidubem Ogbudebe Elias Aniwada Egwuma Efo Degu Dare Useni Sani Nkiru Nwokoye Emperor Ubochioma Obioma-Chijioke Akaniro Debby Nongo Rupert Eneogu Temitayo Lagundoye-Odusote Chukwuma Anyaike Technical and Programs Department KNCV Nigeria Abuja Nigeria Department of Community Medicine Faculty of Medical Sciences University of Nigeria Enugu Campus Enugu Nigeria Technical Department KNCV Tuberculosis Fund The Hague Netherlands The Programs and Coordination Department National Tuberculosis Leprosy & Buruli Control Program Abuja Nigeria Program Management Department HIV/AIDS & TB Office USAID/Nigeria Abuja Nigeria

Background: Tuberculosis (TB) remains a major global public health problem. Early detection and initiation of treatment shortens infectious period and is key to TB control. A considerable proportion of TB patients presenting with advanced symptoms suggests delay in seeking care. As TB control programs rely on passive case finding, TB care-seeking behavior is critical as un-diagnosed cases act as reservoirs for transmission. This study assessed patient health seeking behavior and choice of place of care among TB patients in Nigeria. Methods: This was a pro-gramme implementation, facility-based cross-sectional study in 14 states, 92 facilities across three levels of care. Interviewer-administered semi-structured questionnaires were used. Information on personal characteristics and health seeking behavior was collected from June 2020 to December 2021. The analysis was based on the various healthcare providers where the respondents first sought care. Data analysis was done using IBM SPSS and summarized using frequency and percentages. Chi square test was used for associations of characteristics of patients and choice of place of care at p Results: In all 14 states, distribution of overall first place of seeking care for TB symptoms was: 7208 (75.8%) health facilities (range 57% to 88%), while 2294 (24.2%) visited other places including community pharmacist, patent medicine vendor, traditional/home, un-specified/none. For Health facilities, the majority were at public facilities 6563 (69.1%) and private 641 (6.7%). Moreover, 6 states had >20% of respondents who first sought care at PMVs, while 3 states (Delta, Imo, and Rivers) had 10% of respondents who first sought care at Community Pharmacist. Conclusions: Nearly a quarter of people with TB first sought care outside health facilities, suggesting the need to align availability of services with their needs.

关键词： Patient Pathway Analysis TB Patients TB Treatment Healthcare Facility

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

荷兰结核病在不同年龄人群间的传染:应用DNA指纹法的分析

引用

国际结核病与肺部疾病杂志 2000年第1期3卷 35-39页

作者： M.W.Borgdorff N.J.D.Nagelkerke D.vanSoolingen J.F.Broekmans 安燕生 Royal Netherlands Tuberculosis Association(KNCV) The Hague Department of Public Health Erasmus University. Rotterdam National Institute of Public Health and the Environment Bilthoven The Netherlands Department of Medical Microbiology University of Manitoba Winnipeg Canada National Institute of Public Health and the Environment Bilthoven The Netherlands Royal Netherlands Tuberculosis Association(KNCV) The Hague

背景:1950年至1980年间荷兰结核病感染率的下降比发病率的下降快得多。本研究的目的在于确定这一现象是否能用年龄组内的不同传播所解释。方法:应用RFLP法将荷兰1993～1996年所有菌株进行分型,同一指印的菌株被鉴定为同一来源,由此确定... 详细信息

背景:1950年至1980年间荷兰结核病感染率的下降比发病率的下降快得多。本研究的目的在于确定这一现象是否能用年龄组内的不同传播所解释。方法:应用RFLP法将荷兰1993～1996年所有菌株进行分型,同一指印的菌株被鉴定为同一来源,由此确定2个荷兰患者年龄上的相关性。结果:两簇人群81对菌株患者年龄的平均差异是13.9岁。而所有可能配对患者资料的年龄平均差异是25.5岁。Fisher氏检验相关系数为0.62 (95%可信区间[CI]值为0.46～0.74)。结论:结核病传染源更易传染给和他们年龄相近的人群。由于在1950～1980年间,病例的平均年龄在增加。传染源可能对过去常观测年感染率的儿童的感染更少。在低结核国家中儿童、青少年结核病的年感染率的资料不适于该人群中的老年者。

关键词：结核病传染年龄 RFLP 成簇

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

The role of active case finding in reducing patient incurred catastrophic costs for tuberculosis in Nepal

引用

Infectious Diseases of Poverty 2019年第6期8卷 61-75页

作者： Suman Chandra Gurung Kritika Dixit Bhola Rai Maxine Caws Puskar Raj Paudel Raghu Dhital Shraddha Acharya Gangaram Budhathoki Deepak Malla Jens W.Levy Job van Rest Knut Lonnroth Kerri Viney Andrew Ramsay Tom Wingfield Buddha Basnyat Anil Thapa Bertie Squire Duolao Wang Gokul Mishra Kashim Shah Anil Shrestha Noemia Teixeira de Siqueira-Filha Birat Nepal Medical Trust KathmanduNepal Department of Clinical Sciences Liverpool School of Tropical MedicineLiverpoolUK KNCV Tuberculosis Foundation The HagueNetherlands Department of Public Health Sciences Karolinska InstitutetStockholmSweden Research School of Population Health Australian National UniversityCanberraAustralia University of St Andrews St AndrewsUK University of Liverpool LiverpoolUK Oxford University Clinical Research Unit KathmanduNepal National Tuberculosis Centre BhaktapurNepal Nick Simons Institute LalitpurNepal Institute for Health Technology Assessment Porto AlegreBrazil

Background:The World Health Organization(WHO)End TB Strategy has established a milestone to reduce the number of tuberculosis(TB)-affected households facing catastrophic costs to zero by 2020.The role of active case finding(ACF)in reducing patient costs has not been determined globally.This study therefore aimed to compare costs incurred by TB patients diagnosed through ACF and passive case finding(PCF),and to determine the prevalence and intensity of patient-incurred catastrophic costs in Nepal.Methods:The study was conducted in two districts of Nepal:Bardiya and Pyuthan(Province No.5)between June and August 2018.One hundred patients were included in this study in a 1:1 ratio(PCF:ACF,25 consecutive ACF and 25 consecutive PCF patients in each district).The WHO TB patient costing tool was applied to collect information from patients or a member of their family regarding indirect and direct medical and non-medical costs.Catastrophic costs were calculated based on the proportion of patients with total costs exceeding 20%of their annual household income.The intensity of catastrophic costs was calculated using the positive overshoot method.The chi-square and Wilcoxon-Mann-Whitney tests were used to compare proportions and costs.Meanwhile,the Mantel Haenszel test was performed to assess the association between catastrophic costs and type of diagnosis.Results:Ninety-nine patients were interviewed(50 ACF and 49 PCF).Patients diagnosed through ACF incurred lower costs during the pre-treatment period(direct medical:USD 14 vs USD 32,P=0.001;direct non-medical:USD 3 vs USD 10,P=0.004;indirect,time loss:USD 4 vs USD 13,P<0.001).The cost of the pre-treatment and intensive phases combined was also lower for direct medical(USD 15 vs USD 34,P=0.002)and non-medical(USD 30 vs USD 54,P=0.022)costs among ACF patients.The prevalence of catastrophic direct costs was lower for ACF patients for all thresholds.A lower intensity of catastrophic costs was also documented for ACF patients,although the difference was not statistically signifi

关键词： Tuberculosis Case finding Cost Catastrophic cost Patient-incurred cost Nepal

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Active Case Finding of Pulmonary Tuberculosis among Prison Inmates in Aba Federal Prison, Abia State, Nigeria

引用

Advances in Infectious Diseases 2015年第1期5卷 57-62页

作者： Emmanuel O. Ekundayo Okorie Onuka Gidado Mustapha Mazi Geoffrey Centre for Molecular Biosciences and Biotechnology Infectious Diseases and Public Health Unit Michael Okpara University of Agriculture Umudike Nigeria State Tuberculosis Control Programme Public Health Department Ministry of Health Umuahia Nigeria KNCV TB Care 1 Abuja Nigeria Nigerian Prisons Services Aba Federal Prison Aba Nigeria

Background: Conditions in prisons favour rapid transmission of Mycobacterium tuberculosis and progression to tuberculosis (TB) disease, resulting in higher prevalence rates of TB in prisons than in the corresponding general population. However, in many developing countries with high TB burden, passive case-finding remains the usual approach to case detection of TB in prisons. On this premise, the Abia State TB Control Programme conducted a pilot study to assess the contribution of active case finding to tuberculosis control in Aba Federal Prison. Methods: The inmates were clinically screened and those with symptoms suggestive of TB cases were tested by sputum smear microscopy. Results: Out of the total number of 477 prison inmates present in the prison at the time of study, 449 (94.1%) were clinically screened for history of cough of 2 weeks’ duration;52 (10.42%) met the inclusion criteria for sputum smear microscopy. Eleven of the 52 (21.15%) tested for acid fast bacilli (AFB) by direct smear light microscopy were positive for AFB. One inmate was on anti-tuberculosis therapy;this with the 11 cases detected in the course of this study gave a total of 12 inmates of Aba prison with active pulmonary tuberculosis at the time of this study. This gives a minimum point prevalence rate of 2405 cases per 100,000 prison inmates. Four of the 11 prison cells had at least one smear positive case with 7 of the 11 cases concentrated in two cells. The age group of 25 - 34 years had the highest number of sputum positive cases. Conclusion: Active case-finding resulted in detection of 11 new cases of sputum positive tuberculosis (an increase in detection rate of 1100%) and the prevalence of sputum positive TB is very high (2405 cases per 100,000 prison inmates) in Aba prison. There is an urgent need to institute more effective TB case-finding and control in the prison.

关键词： Pulmonary Tuberculosis Prisons Inmates Active Case-Finding Sputum Smear Microscopy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

如何在患病率调查中确诊结核病患者

引用

国际结核病与肺部疾病杂志 2009年第2期4卷 87-92页

作者： M. J. Van der Werf D. A. Enarson M. W. Borgdorff 胡冬梅(译) 范永德(校) 何广学(审) KNCV Tuberculosis Foundation The Hague Department of Infectious Diseases Tropical Medicine & AIDS Centre for Infection and Immunity Amsterdam (CINIMA) Academic Medical CentreUniversity of Amsterdam Amsterdam The netherlands International Union Aqainst Tuberculosis and Lung Disease Paris France 不详

在患病率调查中确诊结核病(TB)患者是一个挑战,因为进行诊断的工作强度较大,并且由于患病率很低(通常不高于1 200/10万人口)需要在大量人群中筛查。使用3种检验方法:调查问卷、胸片(CXR)和细菌学检验,细菌学检验包括痰涂片显微镜检和痰... 详细信息

在患病率调查中确诊结核病(TB)患者是一个挑战,因为进行诊断的工作强度较大,并且由于患病率很低(通常不高于1 200/10万人口)需要在大量人群中筛查。使用3种检验方法:调查问卷、胸片(CXR)和细菌学检验,细菌学检验包括痰涂片显微镜检和痰培养。这些方法可以应用在四个策略中以确定结核病患者。最敏感的策略是对每个符合条件的人应用所有的方法。敏感性仅次于上述的策略是对每个符合条件的人应用调查问卷、CXR和痰涂片镜检,收集有症状的、CXR异常的或涂片阳性者的痰液进行培养。如果实验室能力有限,可以采用问诊和CXR筛选出结核病高危人群,然后收集这些人的痰液进行涂片镜检和培养。如果CXR和培养都不能应用,可以收集所有符合条件的人的痰标本,应用一种增强的显微镜检方法,如荧光显微镜检的方法进行检测。理想状态下,病例定义是基于问诊、CXR和细菌学检验的综合结果。

关键词：结核病调查定义患病率指南

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

强化期关怀:提高治疗依从性

引用

国际结核病与肺部疾病杂志 2009年第3期4卷 132-135页

作者： G.Williams E.Alarcon S.Jittimanee M.Walusimbi M.Sebek E.Berga T.S.Villa 张秀梅王雪静 International Union Against Tuberculosis and Lung Disease International Council of Nurses Ministry of Public Health BangkokThailand Ministry of Health KampalaUganda KNCV The HagueThe Netherlands State Agency of Tuberculosis and Lung Diseases RigaLatvia Sao Paulo University

本章关注的标准是尽可能提高患者坚持按处方服药的依从性。很多人得知自己患了结核病时都非常震惊,甚至有些人拒绝接受这一事实,而另一部分人会努力了解病情和所得到的治疗。他们的反应取决于很多因素,其中包括:文化信仰,价值观,以往的... 详细信息

本章关注的标准是尽可能提高患者坚持按处方服药的依从性。很多人得知自己患了结核病时都非常震惊,甚至有些人拒绝接受这一事实,而另一部分人会努力了解病情和所得到的治疗。他们的反应取决于很多因素,其中包括:文化信仰,价值观,以往的经历,以及对该病的认识。尽管结核病在体弱人群中多发,但任何人都可能患病。对患者来讲,重要的是他们能够根据个自的情况讨论他们关心的事情。治愈结核病的关键在于患者能够得到满疗程、不间断的治疗,而这样的治疗只能通过患者和医疗服务机构双方共同努力才能够完成。必须有一个用来追踪未按约定接受治疗的患者(未按时取药患者)的系统。通过使用灵活的、创新的和个体化的方法,将获得对患者追踪的最大成功。患者已经得到的治疗和关怀必将影响他/她以后是否愿意坚持治疗。在任何情况下,应强制执行一个对未按时取药患者的追踪系统。但是,如果患者的失约率较高(超过10%),则任何追踪系统将无济于事,而必须检查整个服务系统。

关键词：关怀最佳实践治疗依从性医务工作者

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：