2006 - 2008年马萨诸塞州潜伏性结核感染报告的有效性
Effectiveness of reporting on latent tuberculous infection in Massachusetts, 2006-2008.
作者信息
Hochberg N S, Kubiak R W, Tibbs A, Elder H, Sharnprapai S, Etkind S, Horsburgh C R
机构信息
Boston University School of Public Health, Boston, Massachusetts ; Section of Infectious Diseases, Boston University School of Medicine, Boston, Massachusetts.
Boston University School of Public Health, Boston, Massachusetts.
出版信息
Public Health Action. 2014 Mar 21;4(1):53-5. doi: 10.5588/pha.13.0085.
Massachusetts is one of five states that mandate the reporting of latent tuberculous infection (LTBI). We assessed 2006-2008 Massachusetts surveillance data for LTBI to describe the system and examine the characteristics of persons with LTBI. Over 3 years, 15 301 LTBI cases were reported (4742-5398/year). Among those with known country of birth (n = 11 655), 9983 (85.7%) were foreign-born. Substantial under-ascertainment and/or under-reporting appear likely; mandatory reporting does not appear sufficient for LTBI detection. Enhanced targeted testing, active LTBI surveillance, or laboratory-based surveillance may be needed to eliminate tuberculosis disease in the United States.
马萨诸塞州是强制报告潜伏性结核感染（LTBI）的五个州之一。我们评估了2006 - 2008年马萨诸塞州LTBI的监测数据，以描述该系统并研究LTBI患者的特征。在3年多的时间里，共报告了15301例LTBI病例（每年4742 - 5398例）。在已知出生国家的人群中（n = 11655），9983例（85.7%）是外国出生的。似乎存在大量漏诊和/或漏报情况；强制报告对于LTBI检测似乎并不充分。可能需要加强针对性检测、积极的LTBI监测或基于实验室的监测，以在美国消除结核病。
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