结核病患者中的糖尿病筛查：赞比亚卢萨卡一家三级医院的研究结果
Screening for Diabetes Mellitus among Tuberculosis Patients: Findings from a Study at a Tertiary Hospital in Lusaka, Zambia.
作者信息
Fwoloshi Sombo, Hachaambwa Lottie M, Chiyeñu Kaseya O, Chirwa Lameck, Hoffman Thijs W, Ngalamika Owen, Bailey Sarah Lou
机构信息
Adult Infectious Diseases Center of Excellence, Department of Medicine, University Teaching Hospital, University of Zambia School of Medicine, Lusaka, Zambia.
Department of Infectious Diseases, University of Maryland, Baltimore, MD, USA.
出版信息
Can J Infect Dis Med Microbiol. 2018 Mar 6;2018:3524926. doi: 10.1155/2018/3524926. eCollection 2018.
BACKGROUND
Diabetes mellitus (DM) is known to be associated with active tuberculosis (TB). Zambia is a low-income sub-Saharan African country with a high TB burden and increasing numbers of newly diagnosed DM patients.
MATERIALS AND METHODS
This was an observational study conducted at the University Teaching Hospital in Lusaka, Zambia, from October 2014 to February 2016. Adult patients with active TB were screened for DM.
RESULTS
A total of 127 individuals were enrolled in the study. Six patients (5%) were found to have diabetes. Of these, three had a prior diagnosis of diabetes and were on medication while three were newly diagnosed. Low education level was significantly associated with DM (=0.001; 95% CI 0.001-0.148).
CONCLUSION
The prevalence of DM among individuals with smear positive TB in our study population was similar to that of the general population in Zambia.
背景
糖尿病（DM）已知与活动性结核病（TB）相关。赞比亚是撒哈拉以南非洲的一个低收入国家，结核病负担沉重，新诊断糖尿病患者数量不断增加。
材料与方法
这是一项于2014年10月至2016年2月在赞比亚卢萨卡大学教学医院开展的观察性研究。对成年活动性结核病患者进行糖尿病筛查。
结果
共有127人纳入研究。6名患者（5%）被发现患有糖尿病。其中，3人之前已诊断为糖尿病且正在接受治疗，3人是新诊断出的。低教育水平与糖尿病显著相关（=0.001；95%置信区间0.001 - 0.148）。
结论
在我们的研究人群中，涂片阳性结核病患者中的糖尿病患病率与赞比亚普通人群的患病率相似。
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