頁籤選單縮合
題名 | 2018年建立我國長照機構結核病防治模式之初步成果分析=Preliminary Results of Establishment of Novel Tuberculosis Control Model in Long-Term Care Facilities in Taiwan, 2018 |
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作者 | 盧珉如; 李品慧; 羅秀雲; 李佳琪; 黃彥芳; Lu, Min-ju; Lee, Pin-hui; Lo, Hsiu-yun; Lee, Chia-chi; Huang, Yen-fang; |
期刊 | 疫情報導 |
出版日期 | 20211123 |
卷期 | 37:22 2021.11.23[民110.11.23] |
頁次 | 頁342-349 |
分類號 | 412.42 |
語文 | chi |
關鍵詞 | 結核病防治; 長照機構; 潛伏結核感染; Tuberculosis control; Long-term care facility; Latent tuberculosis infection; |
中文摘要 | 我國結核病發生率逐年降低,2017年已降至每十萬人口41.4例,但65歲以上個案比例逐年增加,已近新通報個案的60%,顯示65歲以上族群的結核病防治已成為我國防治工作的一大課題。此外,我國也面臨一般人口老化問題,預估在2026年,我國老年人口占比將超過20%,成為超高齡社會。因此長照需求增加,各式長照機構應運而生,此類機構的住民以老年人口居多,機構內發生確定結核病事件不但會增加機構內傳播風險,亦威脅照護人員的健康。 本計畫規劃建立長照機構結核病防治模式,在例行進行胸部X光檢查及症狀篩檢的基礎上,導入潛伏結核感染(Latent tuberculosis infection, LTBI)篩檢/治療,以提供住宿式服務之長照機構住民及工作人員為對象,進行LTBI篩檢/治療及症狀篩檢。 初步成果發現:LTBI檢驗及症狀篩檢不僅可強化主動發現個案。並且LTBI檢驗陽性接受治療者除1名治療時未發現肺外病灶者以外,截至資料下載日(2019年1月23日)無人發病,而陽性未接受治療者一年內發病比例則高達2.30%,是檢驗陰性者(0.06%)的38倍。 綜上,建議長照機構管理者考量將LTBI篩檢/治療納入住前健康狀態評估流程的一環,以有效阻絕機構內結核病傳播風險,保護住民及工作人員健康。 |
英文摘要 | The incidence of tuberculosis (TB) in Taiwan is declining every year. Compared with the TB incidence of 41.4 cases per 100,000 general population in 2017, the age-specific incidence among elderly aged ≥65 years was 173.4 cases per 100,000 population. At the same time, population aging results in rising demands for long-term care (LTC), and the number of LTC facilities is increasing. Since the residents of LTC facilities are mainly elderly people, the risk of active transmission of TB in LTC facilities contributing the TB epidemic among the elderly in addition to the reactivation of TB bacilli from latent infection into active TB disease is also increasing. Our research intended to establish a novel TB control model in LTC facilities to test and treat latent tuberculosis infection (LTBI) in addition to annual chest X-ray examination and symptom screening for active TB disease. Our research revealed that among the residents or staffs in LTC facilities with positive results for LTBI tests who did not receive LTBI treatment, the progression from LTBI to TB disease within a year was up to 2.30%. We recommended that the managers of LTC facilities should consider to incorporate LTBI screening/treatment into infection control measures to effectively prevent intra-institutional transmission and protect the health of residents and staffs in LTC facilities. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。