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2018 - 2022年中国新冠疫情之前及期间结核病患者的就诊、诊断和治疗延误情况

Patient, Diagnosis, and Treatment Delays Among Tuberculosis Patients Before and During COVID-19 Epidemic - China, 2018-2022.

作者信息

Li Tao, Du Xin, Kang Jiaojie, Luo Dan, Liu Xiaoqiu, Zhao Yanlin

机构信息

National Center for Tuberculosis Control and Prevention, China CDC, Beijing, China.

School of Public Health, Peking University, Beijing, China.

出版信息

China CDC Wkly. 2023 Mar 24;5(12):259-265. doi: 10.46234/ccdcw2023.047.

Abstract

WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: The coronavirus disease (COVID-19) pandemic could have a damaging impact on access to tuberculosis (TB) diagnosis and treatment.

WHAT IS ADDED BY THIS REPORT?: The overall delay experienced by TB patients during the COVID-19 pandemic has shown a modest decrease in comparison to the period before the pandemic. Notably, higher patient delays were observed among agricultural workers and those identified through passive case-finding methods. Furthermore, the patient delay in eastern regions was shorter compared to western and central regions.

WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: The observed increase in patient delay in 2022 should be of concern for ongoing TB control efforts. Health education and active screening initiatives must be enhanced and broadened among high-risk populations and regions characterized by extended patient delays.

摘要

关于该主题已了解的信息

冠状病毒病(COVID-19)大流行可能会对结核病(TB)的诊断和治疗可及性产生破坏性影响。

本报告新增的内容

与大流行之前的时期相比,结核病患者在COVID-19大流行期间经历的总体延误略有减少。值得注意的是,农业工人以及通过被动病例发现方法确诊的患者的延误时间更长。此外,东部地区患者的延误时间比西部和中部地区短。

对公共卫生实践的启示

2022年观察到的患者延误增加情况应引起对当前结核病控制工作的关注。必须在以患者延误时间长为特征的高危人群和地区加强和扩大健康教育及主动筛查举措。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b26/10150750/3be70a07422b/ccdcw-5-12-259-1.jpg

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