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[秘鲁15岁及以上人群中有症状呼吸道病例的患病率:2013 - 2015年人口与家庭健康调查的二次分析]

[Prevalence of symptomatic respiratory cases in the Peruvian population aged 15 years and above: secondary analysis of the demographic and family health survey, 2013-2015].

作者信息

Gutiérrez César, Roque Joel, Romaní Franco, Zagaceta Jorge

机构信息

Facultad de Medicina Humana, Universidad de Piura. Lima, Perú.

Instituto Nacional de Salud. Lima, Perú.

出版信息

Rev Peru Med Exp Salud Publica. 2017 Jan-Mar;34(1):98-104. doi: 10.17843/rpmesp.2017.341.2771.

DOI:10.17843/rpmesp.2017.341.2771
PMID:28538852
Abstract

The objective of this study was to estimate the prevalence of symptomatic respiratory (SR) cases in the Peruvian population aged 15 years and over between 2013 and 2015. A secondary analysis of the Demographic and Family Health Survey (ENDES) was carried out. The subjects of the study were people aged 15 years and over who answered these interview questions: Do you currently have a cough with phlegm? How long have you had a cough with phlegm? People who had had a cough and phlegm for 15 days or more were defined as having SR. The prevalence of SR was 3.3% in 2013 (95% confidence interval [95% CI]: 2.8-3.9%), 3.8% in 2014 (95% CI: 3.5-4.1%), and 3.3% in 2015 (95% CI: 3.0-3.6%). The prevalence of SR was greater than 5% in people aged 60 years and over, in people in the poorest quintile, and in residents of rural areas. We conclude that 3-4% of Peruvian people aged 15 years and over report cough with phlegm for ≥15 days. The proportion with SR varies according to the region of the country. It is recommended that the expected number of symptomatic SR cases be assessed and that Peruvian healthcare be adjusted as necessary.

摘要

本研究的目的是估算2013年至2015年期间15岁及以上秘鲁人群中有症状性呼吸道疾病(SR)病例的患病率。对人口与家庭健康调查(ENDES)进行了二次分析。研究对象为15岁及以上且回答了以下访谈问题的人群:您目前是否有咳痰咳嗽?您咳痰咳嗽持续了多久?咳嗽咳痰持续15天或更长时间的人被定义为患有SR。2013年SR的患病率为3.3%(95%置信区间[95%CI]:2.8 - 3.9%),2014年为3.8%(95%CI:3.5 - 4.1%),2015年为3.3%(95%CI:3.0 - 3.6%)。60岁及以上人群、最贫困五分之一人群以及农村地区居民中SR的患病率超过5%。我们得出结论,15岁及以上的秘鲁人群中有3% - 4%报告咳嗽咳痰≥15天。SR的比例因该国地区而异。建议评估有症状的SR病例预期数量,并根据需要调整秘鲁的医疗保健服务。

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Should active case finding be conducted among patients with respiratory symptoms independently of local epidemiological settings?是否应在有呼吸道症状的患者中独立于当地流行病学情况开展主动病例发现?
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