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[刚果民主共和国夸戈省波波卡巴卡和卡松戈伦达卫生区沙眼患病率:一项定量研究]

[Prevalence of trachoma in the Popokabaka and Kasongolunda health zones in Kwango province Democratic Republic of Congo: a quantitative study].

作者信息

Kimwesa Francisca Fataki, Diangs Prince Kimpanga, Tambwe Jean Paul, Makangila Felix, Nkashama Jean Kalenga

机构信息

Field Epidemiology and Laboratory Training Program, Kinshasa School of Public Health, Kinshasa, Democratic Republic of Congo.

Department of Epidemiology and Biostatistics, Kinshasa School of Public Health, Kinshasa, Democratic Republic of Congo.

出版信息

Pan Afr Med J. 2025 Feb 9;50:45. doi: 10.11604/pamj.2025.50.45.44440. eCollection 2025.

DOI:10.11604/pamj.2025.50.45.44440
PMID:40353115
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12065566/
Abstract

INTRODUCTION

trachoma is a major public health problem worldwide. Africa is the continent most affected, and the Democratic Republic of Congo (DRC) is confronted with ocular complications due to this pathology. Data from the partial mapping of trachoma in the DRC show that it is widespread, justifying further studies. The aim of this study was to describe the epidemiological and clinical profile of trachoma in two health zones in southwest DRC.

METHODS

a trachoma prevalence survey was conducted in February 2023 in the Popokabaka and Kasongolunda health zones in Kwango province, DRC. A sample of 20 villages was selected by cluster sampling proportional to size. In the households selected in each village, all people aged 1 to 9 and those aged 15 and over were screened using the World Health Organization (WHO) simplified classification system, and the data were subjected to descriptive statistics and prevalence calculations.

RESULTS

the prevalence of follicular trachoma in children aged 1 to 9 was 8.9%, and that of trachomatous trichiasis in subjects aged 15 and over was 0.1%.

CONCLUSION

this prevalence exceeds the WHO critical threshold (5%). Interventions appropriate to the communities concerned are needed to eliminate trachoma by 2030.

摘要

引言

沙眼是全球主要的公共卫生问题。非洲是受影响最严重的大陆,刚果民主共和国(DRC)正因这种病症面临眼部并发症。刚果民主共和国沙眼部分地图绘制的数据表明沙眼广泛存在,这为进一步研究提供了依据。本研究的目的是描述刚果民主共和国西南部两个卫生区沙眼的流行病学和临床特征。

方法

2023年2月在刚果民主共和国夸戈省的波波卡巴卡和卡松戈伦达卫生区进行了沙眼患病率调查。通过按规模比例进行整群抽样,选取了20个村庄的样本。在每个村庄选定的家庭中,使用世界卫生组织(WHO)简化分类系统对所有1至9岁以及15岁及以上的人群进行筛查,并对数据进行描述性统计和患病率计算。

结果

1至9岁儿童滤泡性沙眼患病率为8.9%,15岁及以上人群沙眼性倒睫患病率为0.1%。

结论

这一患病率超过了世界卫生组织的临界阈值(5%)。需要采取适合相关社区的干预措施,以便到2030年消除沙眼。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfcd/12065566/c95a778fbdd7/PAMJ-50-45-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfcd/12065566/c95a778fbdd7/PAMJ-50-45-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfcd/12065566/c95a778fbdd7/PAMJ-50-45-g001.jpg

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本文引用的文献

1
Trachoma in the Democratic Republic of the Congo: Results of 46 Baseline Prevalence Surveys Conducted with the Global Trachoma Mapping Project.刚果民主共和国的沙眼:全球沙眼地图绘制项目开展的46次基线患病率调查结果
Ophthalmic Epidemiol. 2018 Dec;25(sup1):192-200. doi: 10.1080/09286586.2017.1306869. Epub 2017 Aug 29.
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