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津巴布韦 HIV 阳性男男性行为者中存在肺结核症状。

Presence of tuberculosis symptoms among HIV-positive men who have sex with men (MSM) in Zimbabwe.

机构信息

ICAP in Zimbabwe, Harare, Zimbabwe.

AIDS and TB Programmes, Ministry of Health and Child Care, Harare, Zimbabwe.

出版信息

AIDS Res Ther. 2024 Mar 28;21(1):18. doi: 10.1186/s12981-024-00605-8.

DOI:10.1186/s12981-024-00605-8
PMID:38549087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10979552/
Abstract

We conducted secondary data analysis using a biobehavioral survey dataset of 1538 MSM from Zimbabwe. Survey participants were screened for the four symptoms suggestive of tuberculosis infection using the WHO TB screening algorithm. Results: All participants experienced at least one symptom suggestive of tuberculosis. 40% of HIV-positive MSM reported having had a cough in the last month and 13% of them experienced unexpected weight loss. The prevalence of experiencing any of the four TB symptoms amongst HIV-positive MSM was 23%. Contribution There is an urgent need for active TB case finding and treatment amongst HIV-positive MSM in Zimbabwe. Clinicians will need to ensure that MSM who need TB testing receive it timeously.

摘要

我们利用来自津巴布韦的 1538 名男男性行为者的生物行为调查数据集进行了二次数据分析。调查参与者使用世界卫生组织的结核病筛查算法筛查了四种提示结核病感染的症状。结果:所有参与者都至少经历过一种提示结核病的症状。40%的 HIV 阳性男男性行为者报告说他们在上个月有过咳嗽,13%的人经历过意外体重减轻。在 HIV 阳性男男性行为者中,任何一种四种结核病症状的患病率为 23%。意义 津巴布韦的 HIV 阳性男男性行为者中迫切需要进行主动的结核病病例发现和治疗。临床医生需要确保需要结核病检测的男男性行为者及时接受检测。

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引用本文的文献

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Predicting sexually transmitted infections among men who have sex with men in Zimbabwe using deep learning and ensemble machine learning models.使用深度学习和集成机器学习模型预测津巴布韦男男性行为者中的性传播感染情况。
PLOS Digit Health. 2024 Jul 3;3(7):e0000541. doi: 10.1371/journal.pdig.0000541. eCollection 2024 Jul.
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Correction: Presence of tuberculosis symptoms among HIV-positive men who have sex with men (MSM) in Zimbabwe.更正:津巴布韦男男性行为者(MSM)中感染艾滋病毒者的结核病症状情况。
AIDS Res Ther. 2024 Apr 29;21(1):26. doi: 10.1186/s12981-024-00617-4.

本文引用的文献

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Public Health Action. 2022 Mar 21;12(1):10-17. doi: 10.5588/pha.21.0022.
2
High prevalence of pulmonary tuberculosis among female sex workers, men who have sex with men, and transgender women in Papua New Guinea.在巴布亚新几内亚,女性性工作者、男男性行为者和变性女性中肺结核的高患病率。
Trop Med Health. 2021 Jan 13;49(1):4. doi: 10.1186/s41182-020-00293-w.
3
Screening for tuberculosis: time to move beyond symptoms.结核病筛查:是时候超越症状进行筛查了。
Lancet Respir Med. 2019 Mar;7(3):202-204. doi: 10.1016/S2213-2600(19)30039-6.
4
Tuberculosis infection testing in HIV-positive men who have sex with men from Xi'an China.对中国西安男男性行为艾滋病毒阳性者进行结核感染检测。
Epidemiol Infect. 2017 Feb;145(3):498-502. doi: 10.1017/S0950268816002703. Epub 2016 Nov 21.
5
The benefits to communities and individuals of screening for active tuberculosis disease: a systematic review.筛查活动性结核病对社区和个人的益处:系统评价。
Int J Tuberc Lung Dis. 2013 Apr;17(4):432-46. doi: 10.5588/ijtld.12.0743.
6
A systematic review of delay in the diagnosis and treatment of tuberculosis.结核病诊断与治疗延误的系统评价
BMC Public Health. 2008 Jan 14;8:15. doi: 10.1186/1471-2458-8-15.
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Can Malawi's poor afford free tuberculosis services? Patient and household costs associated with a tuberculosis diagnosis in Lilongwe.马拉维的贫困人口能否负担得起免费的结核病服务?与利隆圭结核病诊断相关的患者及家庭费用。
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