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加纳西部直辖市消除结核病进展:2017 年结核病监测数据分析。

Progress towards eliminating tuberculosis in Ga West Municipality, Ghana: analysis of tuberculosis surveillance data, 2017.

机构信息

Ghana Field Epidemiology and Laboratory Training Program, School of Public Health, University of Ghana, Accra.

Salaga Health Directorate, Ghana Health Service, Salaga, Ghana.

出版信息

Ghana Med J. 2020 Jun;54(2 Suppl):26-31. doi: 10.4314/gmj.v54i2s.5.

DOI:10.4314/gmj.v54i2s.5
PMID:33536665
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7837344/
Abstract

OBJECTIVE

To assess the progress made towards the actualization of the 80% reduction in incident cases, monitor trends and to assess the quality of GWM TB surveillance data from 2012 to 2016.

DESIGN

The study was descriptive secondary data analysis.

DATA SOURCE

Tuberculosis cases recorded in the District Health Information Management Systems (DHIMS) and municipal TB registers. The Municipal TB Coordinator was interviewed for clarification on the data. A TB patient was defined as one who coughed persistently for two weeks or more.

MAIN OUTCOME MEASURE

Trend of TB cases in Ga West Municipality.

RESULTS

A total of 441 TB cases were registered of which 68.9% were smear positive. Males were (67%). Age group 35-44 years were the most affected (28.6%). The incidence rose from 21.5 (2012) to 41.6 (2015). The 2016 incidence was 40.7 (± 5.63) per 100,000 population. This is significantly different from the current national incidence of 156 (p < 0.05). Data was 95% complete. Discrepancies existed between data in registers compared to the DHIMS but were not statistically significant.

CONCLUSION

The 80% reduction in incident cases target may not be attained by the GWM due to the rising number of incident cases. However, data quality is good.

FUNDING

The study was funded by the authors.

摘要

目的

评估在实现发病率减少 80%方面所取得的进展,监测趋势,并评估 2012 年至 2016 年全球结核病监测数据的质量。

设计

本研究为描述性的二次数据分析。

数据来源

在地区卫生信息管理系统(DHIMS)和市级结核病登记册中记录的结核病病例。对市级结核病协调员进行了访谈,以澄清数据。将结核病患者定义为持续咳嗽两周或以上的患者。

主要观察指标

Ga West 市结核病病例趋势。

结果

共登记了 441 例结核病病例,其中 68.9%为涂片阳性。男性占 67%。年龄组 35-44 岁的患者受影响最严重(28.6%)。发病率从 2012 年的 21.5 上升到 2015 年的 41.6。2016 年的发病率为每 100,000 人口 40.7(±5.63)。这与当前全国发病率 156 有显著差异(p<0.05)。数据完整率为 95%。与 DHIMS 相比,登记册中的数据存在差异,但无统计学意义。

结论

由于发病率上升,Ga West 市可能无法实现发病率减少 80%的目标。但是,数据质量良好。

资金来源

本研究由作者资助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa4b/7837344/c0d44b597db2/GMJ5402S-0026Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa4b/7837344/f118e07a395a/GMJ5402S-0026Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa4b/7837344/c0d44b597db2/GMJ5402S-0026Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa4b/7837344/f118e07a395a/GMJ5402S-0026Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa4b/7837344/c0d44b597db2/GMJ5402S-0026Fig3.jpg

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本文引用的文献

1
Low tuberculosis case detection: a community and health facility based study of contributory factors in the Nkwanta South district of Ghana.低结核病病例发现率:一项基于加纳恩夸塔南区社区和卫生设施的促成因素研究
BMC Res Notes. 2016 Jun 29;9:330. doi: 10.1186/s13104-016-2136-x.
2
Factors that influence current tuberculosis epidemiology.影响当前结核病流行病学的因素。
Eur Spine J. 2013 Jun;22 Suppl 4(Suppl 4):539-48. doi: 10.1007/s00586-012-2334-8. Epub 2012 May 8.