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KMID : 1143420200130130737
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Public Health Weekly Report
2020 Volume.13 No. 13 p.737 ~ p.755
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Results of Pulmonary Tuberculosis Screening for the Elderly Aged ≥ 65 years in Korea, 2019
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Kim Hee-Ae
Shin Jee-Yeon
Kong In-Sik
On Jin-Hee
Oh Keun-Young
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Abstract
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The Korea Centers for Disease Control and Prevention (KCDC) conducted an early stage tuberculosis (TB) screening pilot
project for the elderly in 2019. The aim was to detect TB in seniors over the age of 65 living in regions with high TB incidences and high TB-related deaths, and to prevent transmission. In 2019, the pilot project conducted test in six regions of Korea: Chungcheongnam-do (Asan, Taean), Jeollanam-do (Suncheon, Hampyeong), and Gyeongsangbuk-do (Gyeongju, Pohang). Among the 58,500 screening targets, 46,247 (79.1%) participated in the project. Chest x-ray and sputum tests were performed and 62 TB patients (134 per 100,000) were reported. Nationwide, this data represented 92.4% of the incidence of TB (145 people per 100,000 people) aged 65 years or older male, elderly, under weight, medical benefit recipient, living alone, smoker, suspected TB, history of history of TB contact. The Pilot confirmed that the incidence of TB was high in the case of underlying disease. In addition, although 51.6% (32/62) of TB confirmed patients were identified as having inactive TB chest X-ray examination. Furthermore, as a result of analyzing the treatment success rate of TB patients (74) in a 2018 pilot project for TB screening for the elderly, it was found that the treatment success rate was higher than that of the general population. This confirmed that early detection and follow-up of TB patients increased the success rate of treatment for TB. The KCDC intends to implement a nationwide geriatric TB screening project in 2020 based on the screening protocol established through the 2018 TB screening pilot project. In terms of the targets of the 2020 project, priority will be given to the elderly with medical care and the elderly who are at home and who have less chance of TB screening and have a higher incidence of TB. Through this, vulnerable populations who are in the blind spot for TB screening will be managed, and early detection and treatment of TB patients will prevent transmission and improve public health.
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KEYWORD
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Tuberculosis (TB), Tuberculosis in the elderly, Chest X-ray examination, Sputum examination, Incidence
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