RESEARCH ON TUBERCULOSIS DISCOVERED THROUGH IMPLEMENTING THE DOUBLE X STRATEGY AND SOME RISK FACTORS IN PEOPLE IN VINH LONG PROVINCE IN 2023

Duy Khanh Phan1, Thi My Tien Huynh1, Truong Duy Tung Nguyen2,, Thanh Hung Tran3
1 Vinh Long Lung Hospital
2 Vinh Long Department of Health
3 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

  Background: The 2X strategy has the potential to significantly reduce the burden on laboratories, provide a balance between the sensitivity and implementation costs of community TB screening strategies, help detect TB patients to bring patients into early treatment management, cut off sources of transmission in the community. Objectives: To determine the rate of tuberculosis infection detected through implementing the double X strategy and analyze some risk factors of tuberculosis diagnosed through implementing the double X strategy in Vinh Long province in 2023.  Materials and methods: A cross-sectional descriptive study was conducted on 2,160 people participating in screening in the double X strategy at medical facilities in Vinh Long province using  a set of prepared questions and data processed from SPSS 27.0 software. Results: The incidence of pulmonary tuberculosis was 3.9% and latent tuberculosis was 16.6%. Some factors related to the incidence of tuberculosis such as age group ≥ 30 years old (p<0.05), gender (p< 0.001), marital status (p < 0.05), Education level from high school and above (p < 0.05); Living in the same house as someone with tuberculosis (p < 0.05) and diabetes (p< 0.05). Conclusion: The 2X strategy has shown effectiveness in early detection of tuberculosis, cutting off the source of infection in the community. It is necessary to promote the implementation of the 2X strategy in the coming time in Vinh Long province.

Article Details

References

1. World Health Organization. Global Turberculosis Report 2019. 2019.
2. Thủ tướng Chính phủ. Quyết định số 374/QĐ-TTg ngày 17/03/2014 về việc phê duyệt Chiến lược quốc gia phòng, chống lao đến năm 2020 và tầm nhìn 2030. 2014.
3. World Health Organization. Global Turberculosis Report 2018. 2018.
4. Nguyen Hai Viet, et al, The second national tuberculosis prevalence survey in Vietnam. PLoS One. 2020. 15(7), e0236532, doi: 10.1371/journal.pone.0232142.
5. Creswell J. et al. The performance and yield of tuberculosis testing algorithms using microscopy, chest x-ray, and Xpert MTB/RIF. J. Clin. Tuberc Other Mycobact. 2018 Nov 28. 14, 1-6, doi: 10.1016/j.jctube.2018.11.002.
6. Nguyen Vo Quang Luan et al. Evaluating the yield of systematic screening for tuberculosis among three priority groups in Ho Chi Minh City, Viet Nam. Infect Dis Poverty. 2020. 9(1), 166, doi: 10.1186/s40249-020-00766-4.
7. Trần Thanh Hùng và cộng sự. Xác định tỷ lệ mắc lao và các yếu tố liên quan của người tham gia chiến lược 2X tại thành phố Cần Thơ năm 2023. Tạp chí Y Dược học Cần Thơ. 2024.
(71)2024, https://doi.org/10.58490/ctump.2024i71.2331.
8. Andrew James Codlin et al. Results from a roving, active case finding initiative to improve tuberculosis detection among older people in rural Cambodia using the Xpert MTB/RIF assay and chest X-ray. Journal of Clinical Tuberculosis and Other Mycobacterial Diseases. 2018. 13, 22-27, https://doi.org/10.1016/j.jctube.2018.11.001.
9. Lê Thị Hồng Ngọc. Xác định tỷ lệ mắc lao và kiến thức về bệnh lao của bệnh nhân đái tháo đường típ 2 đang điều trị tại thành phố Cần Thơ năm 2022. Đề tài cơ sở Bệnh viện Lao và Bệnh phổi thành phố Cần Thơ. 2022
10. Nguyen Binh Hoa et al. National survey of tuberculosis prevalence in Viet Nam, Bulletin of the World Health Organization. 2010. 88, 273-280, doi:10.2471/BLT.09.067801.
11. Shetty N et al. An epidemiological evaluation of risk factors for tuberculosis in South India: a matched case control study. The International Journal of Tuberculosis and Lung Disease. 2006. 10, 80-86.
12. Ezra Shimeles et al. Risk factors for tuberculosis: A case–control study in Addis Ababa, Ethiopia. PLOS ONE. 2019, 1-18, DOI: 10.1371/journal.pone.0214235.