英语翻译Tuberculosis Prevention in Mexican ImmigrantsLimitations of Short-Course TherapyNamratha R.Kandula,MD,MPH,Mark S.Dworkin,MD,MHTPM,Margaret R.Carroll,RN,BS,Diane S.Lauderdale,PhDBackground:Two months of rifampin and pyrazinamide (RIF/PZA)
英语翻译Tuberculosis Prevention in Mexican ImmigrantsLimitations of Short-Course TherapyNamratha R.Kandula,MD,MPH,Mark S.Dworkin,MD,MHTPM,Margaret R.Carroll,RN,BS,Diane S.Lauderdale,PhDBackground:Two months of rifampin and pyrazinamide (RIF/PZA)
英语翻译
Tuberculosis Prevention in Mexican ImmigrantsLimitations of Short-Course Therapy
Namratha R.Kandula,MD,MPH,Mark S.Dworkin,MD,MHTPM,Margaret R.Carroll,RN,BS,Diane S.Lauderdale,PhD
Background:Two months of rifampin and pyrazinamide (RIF/PZA) for tuberculosis prevention ha been advocated as a way to improve adherence in mobile populations,such as recen immigrants.However,RIF/PZA requires intensive patient and laboratory monitoring for hepatotoxicity.
Objectives:To describe the feasibility and outcomes of using RIF/PZA for TB prevention during a tuberculosis outbreak in a Mexican immigrant community,where 23 adults and 11 children were treated with RIF/PZA between August 2001 and October 2001.
Methods:Retrospective chart review and interviews with health department employees were conducted to assess completion rates,hepatotoxicity,cost,and feasibility of monitoring.
Results:Ten (91%) children and 13 (57%) adults completed RIF/PZA.One child (9%) and four adults (17%) developed drug-induced hepatitis.Cultural barriers affected care.The adult resisted the biweekly blood draw,believing it would “drain them of energy.” RIF/PZA,plumonitoring,was twice as costly as 4 months of rifampin.
Conclusions:RIF/PZA was associated with significant hepatotoxicity,poor completion,and cultura barriers to monitoring,and was more costly than standard therapy.Tuberculosis prevention must address potential clinical,cultural,and economic barriers to completion and monitoring of short-course therapy in immigrants.
(Am J Prev Med 2004;26(2):163–166) © 2004 American Journal of Preventive Medicine
英语翻译Tuberculosis Prevention in Mexican ImmigrantsLimitations of Short-Course TherapyNamratha R.Kandula,MD,MPH,Mark S.Dworkin,MD,MHTPM,Margaret R.Carroll,RN,BS,Diane S.Lauderdale,PhDBackground:Two months of rifampin and pyrazinamide (RIF/PZA)
翻译:
Tuberculosis Prevention in Mexican ImmigrantsLimitations of Short-Course Therapy
墨西哥移民结核病防治的短期疗法的局限性
Namratha R.Kandula,MD,MPH,Mark S.Dworkin,MD,MHTPM,Margaret R.Carroll,RN,BS,Diane S.Lauderdale,PhD
这些是作者名字,不翻译了,自己音译吧
Background:Two months of rifampin and pyrazinamide (RIF/PZA) for tuberculosis prevention ha been advocated as a way to improve adherence in mobile populations,such as recen immigrants.However,RIF/PZA requires intensive patient and laboratory monitoring for hepatotoxicity.
背景:使用为期2个月的利福平和吡嗪酰胺 (RIF/PZA)作为结核病的防治方法已经被当成一种提高流动人口(比如移民)的凝聚力的方式.然而 RIF/PZA要求病人要相对集中和对肝脏毒性的实验室观察.
Objectives:To describe the feasibility and outcomes of using RIF/PZA for TB prevention during a tuberculosis outbreak in a Mexican immigrant community,where 23 adults and 11 children were treated with RIF/PZA between August 2001 and October 2001.
目的:为了阐述在墨西哥移民社区结核病爆发期间使用RIF/PZA作为结核病防治措施的可行性与效果,从2001年8月至10月,这个社区的23名成年人和11名小孩接受了RIF/PZA 治疗.
Methods:Retrospective chart review and interviews with health department employees were conducted to assess completion rates,hepatotoxicity,cost,and feasibility of monitoring.
方法:以审核可回顾图表和对卫生部雇员的访问作为对完成率、肝脏毒性、费用和观察的可行性的评价方式.
Results:Ten (91%) children and 13 (57%) adults completed RIF/PZA.One child (9%) and four adults (17%) developed drug-induced hepatitis.Cultural barriers affected care.The adult resisted the biweekly blood draw,believing it would “drain them of energy.” RIF/PZA,plumonitoring,was twice as costly as 4 months of rifampin.
结果:10个儿童(91%)和13个成人(57%)完成了RIF/PZA,一个儿童(9%)和4个成人(17%)产生了药物性肝炎.文化障碍影响到了治疗效果.成年人抵触2个星期一次的血液抽查,因为他们认为这会“吸干他们的活力”.在无监察的情况下,使用RIF/PZA的费用相当于利福平4个月用药的费用.
Conclusions:RIF/PZA was associated with significant hepatotoxicity,poor completion,and cultura barriers to monitoring,and was more costly than standard therapy.Tuberculosis prevention must address potential clinical,cultural,and economic barriers to completion and monitoring of short-course therapy in immigrants.
结论:RIF/PZA具有显著的肝脏毒性,低治疗性,受文化障碍的影响而难以监察,并且比标准的治疗方法费用更高.结核病防治应致力于可行的临床的、无文化障碍和更经济的方式来实现对移民们短期治疗的监察与效果.
(Am J Prev Med 2004;26(2):163–166) © 2004 American Journal of Preventive Medicine
美国预防医学杂志(Am J Prev Med 2004;26(2):163–166) © 2004
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在结核病防治短池墨西哥ImmigrantsLimitations治疗
Namratha河Kandula,医学博士,公共卫生硕士,马克德沃金学,医学博士,MHTPM,玛格丽特河卡罗尔,护士,英国BS,劳德代尔黛安学博士
背景:两个利福平和吡嗪酰胺结核预防公顷(RIF的/ PZA)个月,一直主张,以此来提高移动人群,如recen移民,坚持。不过,间质纤维化/ PZA需要深入病人的肝...
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在结核病防治短池墨西哥ImmigrantsLimitations治疗
Namratha河Kandula,医学博士,公共卫生硕士,马克德沃金学,医学博士,MHTPM,玛格丽特河卡罗尔,护士,英国BS,劳德代尔黛安学博士
背景:两个利福平和吡嗪酰胺结核预防公顷(RIF的/ PZA)个月,一直主张,以此来提高移动人群,如recen移民,坚持。不过,间质纤维化/ PZA需要深入病人的肝和实验室监测。
目的:描述的可行性和使用过程中预防结核病在墨西哥移民社区,其中23名成人和11名儿童分别与间质纤维化/ PZA治疗2001年8月至2001年10月RIF的结核病疫情/ PZA成果。
方法:回顾图审查,并与卫生部门的员工进行了采访,以评估完成率,肝,成本和监测的可行性。
结果:10例(91%)的儿童和13(57%)完成成人间质纤维化/ PZA。一个孩子(9%)和四个成年人(17%)开发的药物性肝炎。文化障碍影响的照顾。成人抵制双周抽血,认为这将“能源消耗它们。”间质纤维化/ PZA,plumonitoring,曾两次到4个月利福平昂贵。
结论:间质纤维化/ PZA是与显着的肝毒性,不良完成和cultura障碍监测,比标准治疗更昂贵。要解决潜在的结核病防治临床,文化和经济障碍完成和短期课程,移民治疗监测。
(上午Ĵ预防医学2004; 26(2):163 - 166)© 2004年美国预防医学杂志
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