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对涂片阴性结核病可疑者随访1个月提高结核病患者发现 被引量:2
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作者 A.Porskrog M.Bjerregaard-Andersen +8 位作者 I.Oliveira L.C.Joaquím C.Camara P.L.Andersen P.Rabna P.Aaby C.Wejse 彭红 王雪静 《国际结核病与肺部疾病杂志》 2011年第4期192-197,共6页
背景:在几内亚比绍共和国比绍实施的Bandim卫生项目。目的:对最初就诊时已被排除患有结核病的既往结核病可疑者进行结核病筛查。设计:这是一个队列随访研究,对初次就诊时痰涂片检查为阴性的"结核病阴性可疑者"在其初次就诊后... 背景:在几内亚比绍共和国比绍实施的Bandim卫生项目。目的:对最初就诊时已被排除患有结核病的既往结核病可疑者进行结核病筛查。设计:这是一个队列随访研究,对初次就诊时痰涂片检查为阴性的"结核病阴性可疑者"在其初次就诊后1个月内进行结核病症状筛查,并将有症状者转诊接受临床复查和HIV检测。结果:2007年的10个月期间共登记结核病可疑者428例,其中80%(343例)为痰涂片阴性,而21例涂片阴性者被诊断为涂阴肺结核患者。在余下的322例结核病阴性可疑者中,对212例进行了随访,并在初诊后1个月内对有症状者进行了复查。在接受随访的患者中,89例(42%)仍然有症状;经复查痰涂片和胸部X线,5例被确诊为患有结核病。44例有症状且接受HIV检测的患者中,39%(17例)为HIV感染者。322例结核病阴性可疑者中,13例(4%)在随访前已经死亡。结论:很大一部分结核病阴性患者在初诊后一个月仍有症状。几例结核病患者初诊时未被诊断,结核病患者的HIV感染率较高。结核病阴性可疑者死亡率较高,这就需要结核病和艾滋病防治规划均应提高对此问题的重视程度。 展开更多
关键词 结核病可疑者 主动患者发现 HIV 几内亚比绍共和国
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Genetic regulators of cytokine responses upon BCG vaccination in children from West Africa
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作者 Collins K.Boahen S.J.C.F.M.Moorlag +11 位作者 Kristoffer Jarlov Jensen Vasiliki Matzaraki Stephanie Fanucchi Ivan Monteiro Charlotte de Bree Ezio T.Fok Musa Mhlanga Leo A.B.Joosten Peter Aaby Christine Stabell Benn Mihai G.Netea Vinod Kumar 《Journal of Genetics and Genomics》 SCIE CAS CSCD 2023年第6期434-446,共13页
Genetic variation is a key factor influencing cytokine production capacity,but which genetic loci regulate cytokine production before and after vaccination,particularly in African population is unknown.Here,we aimed t... Genetic variation is a key factor influencing cytokine production capacity,but which genetic loci regulate cytokine production before and after vaccination,particularly in African population is unknown.Here,we aimed to identify single-nucleotide polymorphisms(SNPs)controlling cytokine responses after microbial stimulation in infants of West-African ancestry,comprising of low-birth-weight neonates randomized to bacillus Calmette-Gue rin(BCG)vaccine-at-birth or to the usual delayed BCG.Genome-wide cytokine cytokine quantitative trait loci(cQTL)mapping revealed 12 independent loci,of which the LINC01082-LINC00917 locus influenced more than half of the cytokine-stimulation pairs assessed.Furthermore,nine distinct cQTLs were found among infants randomized to BCG.Functional validation confirmed that several complement genes affect cytokine response after BCG vaccination.We observed a limited overlap of common cQTLs between the West-African infants and cohorts of Western European individuals.These data reveal strong population-specific genetic effects on cytokine production and may indicate new opportunities for therapeutic intervention and vaccine development in African populations. 展开更多
关键词 CYTOKINES Geneticvariation West Africa Immunogenomics QTL BCG
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