印度中央邦萨哈里亚部落不同症状的肺结核相对发病率
Comparative Yield of Pulmonary Tuberculosis by Different Symptoms among Saharia Tribe of Madhya Pradesh, India.
作者信息
Sharma Ravendra, Rao V G, Yadav Rajiv, Mishra Prashant, Lingla Mercy Aparna, Nigam Samridhi, Bhat Jyothi
机构信息
ICMR-National Institute of Medical Statistics, New Delhi, India.
Division of Communicable Diseases, ICMR-National Institute of Research in Tribal Health, Jabalpur, India.
出版信息
Indian J Community Med. 2021 Jul-Sep;46(3):546-549. doi: 10.4103/ijcm.IJCM_42_21. Epub 2021 Oct 13.
BACKGROUND
Symptom elicitation is a simple and inexpensive screening tool used for population screening in tuberculosis (TB) prevalence surveys. However, the information on the yield of TB cases by symptoms is sparsely available.
METHODS
A cross-sectional pulmonary TB (PTB) prevalence survey was conducted. All available eligible individuals were interviewed for symptoms of PTB. Sputum samples were collected and tested for PTB by smear microscopy and culture.
RESULTS
Among 2890 individuals tested for PTB, 77% had cough for 2 weeks or more and one-third reported chest pain for 1 month or more. About 31% were having a history of anti-TB treatment. Cough contributed to 82% PTB cases and the history of anti-TB treatment contributed to another 8.4% confirmed cases. Fever recorded lowest yield among the symptoms of PTB.
CONCLUSION
The study suggests that fever alone may be ignored from symptomatic elicitation, and history of previous anti-TB treatment should be treated as an important indication for PTB symptomatic elicitation.
背景
症状引出是一种简单且廉价的筛查工具，用于结核病（TB）患病率调查中的人群筛查。然而，关于通过症状检出结核病病例的信息却很少。
方法
开展了一项横断面肺结核（PTB）患病率调查。对所有符合条件的个体进行访谈，询问其肺结核症状。采集痰液样本，并通过涂片显微镜检查和培养检测肺结核。
结果
在2890名接受肺结核检测的个体中，77%的人咳嗽持续2周或更长时间，三分之一的人报告胸痛持续1个月或更长时间。约31%的人有抗结核治疗史。咳嗽导致82%的肺结核病例，抗结核治疗史导致另外8.4%的确诊病例。发热在肺结核症状中检出率最低。
结论
该研究表明，在症状引出中，仅发热可能可被忽略，既往抗结核治疗史应被视为肺结核症状引出的重要指征。
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