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乌克兰战争对波兰耐多药/利福平耐药结核病流行率的影响。

The impact of the war in Ukraine on the prevalence of MDR/RR-TB in Poland.

作者信息

Nowinski A, Augustynowicz-Kopeć E, Garnczarek J, Halicka A, Koszela M, Litwiniuk W, Maj D, Mazur I, Niestrój-Ostrowska J, Podlasin R, Regulska A, Wielopolska M, Wyrwiński J, Wesołowski S, Korzeniewska-Koseła M

机构信息

Department of Tuberculosis Epidemiology and Surveillance, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland.

Department of Microbiology, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland.

出版信息

IJTLD Open. 2025 Jan 1;2(1):6-12. doi: 10.5588/ijtldopen.24.0357. eCollection 2025 Jan.

DOI:10.5588/ijtldopen.24.0357
PMID:39802231
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11724529/
Abstract

BACKGROUND

The 2022 invasion of Ukraine by the Russian Federation triggered a refugee crisis, affecting the multidrug-/rifampicin-resistant TB (MDR/RR-TB) prevalence in neighbouring countries. This study examines the epidemiological trends and characteristics of MDR/RR-TB patients in Poland, focusing on the relative contribution of Ukrainian refugees.

METHODS

Data from the Polish National Tuberculosis Registry and EPIC Project database, covering MDR/RR-TB cases reported between 2010 and Q1 2024, were analysed.

RESULTS

The study included 794 MDR/RR-TB cases, showing a demographic shift post-2022. During the 10-year period up to 2021, a median of 48 MDR/RR-TB cases were reported annually in Poland. After 2022, these numbers doubled: 104 cases were reported in 2022 and 101 cases in 2023. Simultaneously, the number of Ukrainian MDR/RR-TB patients increased from 77 (13%) during 2010-2021 to 127 (58%) from 2022 to Q1 2024.

CONCLUSION

Poland is observing an increased number of cases of MDR/RR-TB associated with the large number of displaced Ukrainian citizens who are now residing in Poland. There is a need to monitor the epidemiology of MDR/RR-TB and seek optimal screening and management strategies for TB among refugees from countries with high MDR/RR-TB incidence in Poland and Europe.

摘要

背景

2022年俄罗斯联邦对乌克兰的入侵引发了一场难民危机，影响了邻国耐多药/利福平耐药结核病（MDR/RR-TB）的流行情况。本研究调查了波兰MDR/RR-TB患者的流行病学趋势和特征，重点关注乌克兰难民的相对贡献。

方法

分析了波兰国家结核病登记处和EPIC项目数据库的数据，这些数据涵盖了2010年至2024年第一季度报告的MDR/RR-TB病例。

结果

该研究纳入了794例MDR/RR-TB病例，显示出2022年后的人口结构变化。在截至2021年的10年期间，波兰每年报告的MDR/RR-TB病例中位数为48例。2022年后，这些数字翻了一番：2022年报告了104例，2023年报告了101例。同时，乌克兰MDR/RR-TB患者的数量从2010 - 2021年期间的77例（13%）增加到2022年至2024年第一季度的127例（58%）。

结论

波兰观察到与大量目前居住在波兰的乌克兰流离失所公民相关的MDR/RR-TB病例数量增加。有必要监测MDR/RR-TB的流行病学情况，并为波兰和欧洲耐多药/利福平耐药结核病高发国家的难民寻求结核病的最佳筛查和管理策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097c/11724529/c210757c42e7/ijtldopen24-0357f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097c/11724529/c082ac5f4161/ijtldopen24-0357f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097c/11724529/26dd6690f152/ijtldopen24-0357f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097c/11724529/6b4d34b121b0/ijtldopen24-0357f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097c/11724529/c210757c42e7/ijtldopen24-0357f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097c/11724529/c082ac5f4161/ijtldopen24-0357f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097c/11724529/26dd6690f152/ijtldopen24-0357f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097c/11724529/6b4d34b121b0/ijtldopen24-0357f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097c/11724529/c210757c42e7/ijtldopen24-0357f4.jpg

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Re: 'Availability of drugs and resistance testing for BPaLM regimen for rifampicin-resistant tuberculosis in Europe' by Lange et al.关于：兰格等人所著的《欧洲耐利福平结核病的BPaLM方案的药物可及性与耐药性检测》
Clin Microbiol Infect. 2024 Sep;30(9):1204-1206. doi: 10.1016/j.cmi.2024.06.001. Epub 2024 Jun 6.
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Availability of drugs for the treatment of multidrug-resistant/rifampicin-resistant tuberculosis in the World Health Organization European Region, October 2023.
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Euro Surveill. 2024 Apr;29(17). doi: 10.2807/1560-7917.ES.2024.29.17.2400211.
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Increasing incidence of TB in a low burden TB country due to migration from Ukraine.由于来自乌克兰的移民，一个结核病低负担国家的结核病发病率不断上升。
Int J Tuberc Lung Dis. 2024 Feb 1;28(2):106-107. doi: 10.5588/ijtld.23.0292.
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Inventory study on completeness of tuberculosis case notifications in Poland in 2018.2018 年波兰结核病病例报告完整性的存量研究。
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