多层级的潜伏性结核感染治疗障碍：一份研究笔记。
Multi-level barriers to LTBI treatment: a research note.
机构信息
Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Dr., La Jolla, CA 92037-0811, USA.
出版信息
J Immigr Minor Health. 2010 Aug;12(4):544-50. doi: 10.1007/s10903-008-9216-5. Epub 2008 Dec 16.
Abstract
BACKGROUND
This study describes the barriers to effective and timely LTBI treatment encountered in a research study on INH adherence in Latino adolescents.
METHOD
Participant study logs were reviewed, results of continuing medical education pretests for medical providers were examined, and participating medical facilities were contacted in order to construct a profile of multi-level barriers to LTBI treatment.
RESULTS
A total of 285 TST positive Latino (96%) high school students were recruited into the trial. We encountered a lack of understanding of the gravity of tuberculosis infection among both the public and providers of health care. Parents and adolescents cited competing priorities, transportation problems and financial constraints as reasons for non-compliance.
DISCUSSION
Improved education of the public and physicians is needed regarding the gravity of the disease and the value of treatment, as well as public and financial support for LTBI treatment by both the government and the medical community.
摘要
背景
本研究描述了在一项关于拉丁裔青少年异烟肼依从性的研究中，发现的影响潜伏性结核感染（LTBI）有效及时治疗的障碍。
方法
对参与者的研究日志进行了审查，检查了医疗服务提供者持续医学教育前测的结果，并联系了参与的医疗设施，以构建 LTBI 治疗多层次障碍的概况。
结果
共有 285 名潜伏性结核感染阳性的拉丁裔（96%）高中生参与了该试验。我们发现，公众和医疗保健提供者都对结核感染的严重性缺乏了解。家长和青少年将竞争的优先级、交通问题和经济限制列为不遵守规定的原因。
讨论
需要加强公众和医生对该疾病严重性和治疗价值的教育，以及政府和医疗界对 LTBI 治疗的公共和财政支持。
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本文引用的文献
1
A survey of health professions students for knowledge, attitudes, and confidence about tuberculosis, 2005.2005年对卫生专业学生进行的关于结核病知识、态度和信心的调查。
BMC Public Health. 2007 Aug 28;7:219. doi: 10.1186/1471-2458-7-219.
2
Predicting non-completion of treatment for latent tuberculous infection: a prospective survey.预测潜伏性结核感染治疗未完成情况：一项前瞻性调查。
Am J Respir Crit Care Med. 2006 Sep 15;174(6):717-21. doi: 10.1164/rccm.200510-1667OC. Epub 2006 Jun 29.
3
Physician attitudes regarding bacille Calmette-Guérin vaccination and treatment of latent tuberculosis infection.医生对卡介苗接种及潜伏性结核感染治疗的态度。
Int J Tuberc Lung Dis. 2004 Dec;8(12):1443-7.
4
Increasing Latino adolescents' adherence to treatment for latent tuberculosis infection: a controlled trial.提高拉丁裔青少年对潜伏性结核感染治疗的依从性：一项对照试验。
Am J Public Health. 2003 Nov;93(11):1871-7. doi: 10.2105/ajph.93.11.1871.
5
Assessment of tuberculosis treatment completion in an ethnically diverse population using two data sources. Implications for treatment interventions.利用两个数据源评估不同种族人群中结核病治疗的完成情况。对治疗干预措施的启示。
Eval Health Prof. 2003 Mar;26(1):43-58. doi: 10.1177/0163278702250080.
6
Evaluation of a risk assessment questionnaire used to target tuberculin skin testing in children.用于确定儿童结核菌素皮肤试验对象的风险评估问卷的评估
JAMA. 2001;285(4):451-3. doi: 10.1001/jama.285.4.451.
7
8
A novel approach to monitoring adherence to preventive therapy for tuberculosis in adolescence.一种监测青少年结核病预防性治疗依从性的新方法。
J Paediatr Child Health. 1999 Aug;35(4):350-4.
9
The natural history of tuberculosis: the implications of age-dependent risks of disease and the role of reinfection.结核病的自然史：疾病年龄依赖性风险的影响及再感染的作用。
Epidemiol Infect. 1997 Oct;119(2):183-201. doi: 10.1017/s0950268897007917.
10
Compliance becomes concordance.依从性变成了一致性。
BMJ. 1997 Mar 8;314(7082):691-2. doi: 10.1136/bmj.314.7082.691.
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