黔南州结核病传染源调查研究

摘要/Abstract

摘要： 目的　探索结核病传染源的发现方法,了解其分布,为制定结核病控制措施提供科学依据。方法选择 12个县市中的 8个县为调查点,余 4个县为对照点。调查点与对照点县疾控中心设结核防治组,负责可疑结核病例的痰检,对胸片或胸透异常及有可疑结核病症状者,进行痰涂片检查。调查点工作内容除病例痰检免费、涂阳病例免费治疗外与对照相同。结果调查点肺结核报告病例痰检率 51.1%,涂阳年登记率 25.99/10万,对照点肺结核痰检率 18.3%,涂阳病例年登记率 0.26/10万 ;临床首诊为支气管炎、肺部感染和其他痰病病例中结核菌检出率分别为 12.4%、11.8%、8.2%。结论农村结核感染形势严峻,政府应加大投入,对农村现阶段应免费痰检,涂阳病例免费治疗,医疗单位应将结核菌痰检作为呼吸系统疾病的常规检验项目,以及早发现传染源。

关键词: 结核/流行病学, 流行病学研究

Abstract: Objective To seek for the Methods for detecting the tuberculosis infectious source and determine its distribution for providing the scientific evidences for developing measures for tuberculosis control.Methods Selecting 8 out of 12 counties as the investigated areas,while the others are taken as the control ones.The tuberculosis control teams were established in county CDC that were responsible for providing smear examination for the TB suspects.The township hospitals were responsible for health education,sputum collection.The working approaches in investigation areas and control areas were the same except free smear examination and free treatment policy in investigation areas.Results The rate of the sputum smear examination in the investigated areas was 51.1%.The notification rate of smear positive cases was 25.99/Objective To seek for the Methods for detecting the tuberculosis infectious source and determine its distribution for providing the scientific evidences for developing measures for tuberculosis control.Methods Selecting 8 out of 12 counties as the investigated areas,while the others are taken as the control ones.The tuberculosis control teams were established in county CDC that were responsible for providing smear examination for the TB suspects.The township hospitals were responsible for health education,sputum collection.The working approaches in investigation areas and control areas were the same except free smear examination and free treatment policy in investigation areas.Results The rate of the sputum smear examination in the investigated areas was 51.1%.The notification rate of smear positive cases was 25.99/100000.It was 18.3% and 0.26/100000 accordingly in the control areas.The smear positive detected rate in the patients that diagnosed as bronchitis,lung infection,and others was 12.4%,11.8%,8.2% respectively.There was no difference in the location distribution and seasons distribution of cases.There was a higher infection rate among peasants and youth.Conclusion The situation of TB infection in rural area was serious.The governments should provide more funds for TB control and to implement free smear examination and free treatment for smear positive cases.In order to find infectious TB sources as soon as possible,smear examination should be one of the routine test in hospitals for respiratory diseases..It was 18.3% and 0.26/100000 accordingly in the control areas.The smear positive detected rate in the patients that diagnosed as bronchitis,lung infection,and others was 12.4%,11.8%,8.2% respectively.There was no difference in the location distribution and seasons distribution of cases.There was a higher infection rate among peasants and youth.Conclusion The situation of TB infection in rural area was serious.The governments should provide more funds for TB control and to implement free smear examination and free treatment for smear positive cases.In order to find infectious TB sources as soon as possible,smear examination should be one of the routine test in hospitals for respiratory diseases.

Key words: Tuberculosis/epidemiology, Epidemiologic studies

陈祖府,雷承德,张永革,吴昌华,. 黔南州结核病传染源调查研究[J]. 中国防痨杂志, 2005, 27(1): 36-38.

Chen Zufu,Lei Chengde,Zhang Yongge,et al.. The investigation of the tuberculosis infectious source in Qiannan prefecture state[J]. Chinese Journal of Antituberculosis, 2005, 27(1): 36-38.

[1]	苏茜, 夏勇, 逯嘉, 王丹霞, 何金戈. 2009—2018年四川省0~14 岁儿童肺结核流行特征分析[J]. 中国防痨杂志, 2020, 42(9): 942-947.
[2]	邓亚丽, 张天华, 刘卫平, 张宏伟, 马煜, 李鹏. 2014—2018年陕西省肺结核发病的时空聚集性分析[J]. 中国防痨杂志, 2020, 42(9): 948-955.
[3]	孙海燕, 李烁, 王忠东, 任志盛, 宋颂, 薛白, 张华强, 代晓琦. 2010—2019年青岛市学生肺结核流行病学特征分析[J]. 中国防痨杂志, 2020, 42(9): 994-997.
[4]	包训迪, 江跃, 梁锁, 程红燕, 夏广秀, 王超, 叶倩, 王舒, 王庆. 安徽省非结核分枝杆菌临床分离率及人群分布和耐药性分析[J]. 中国防痨杂志, 2020, 42(7): 718-724.
[5]	赖铿, 雷宇, 杜雨华, 吴桂锋, 谢玮, 沈鸿程, 钟芷晴, 李铁钢. 2014—2018年广州市学生肺结核发病时空特征分析[J]. 中国防痨杂志, 2020, 42(6): 590-596.
[6]	尹哲, 贺湘焱, 李奇凤, 刘亚洁, 张燕, 李德洋, 加依娜·拉兹别克, 古丽娜扎尔·艾克拜尔, 曹明芹. 2011—2015年新疆维吾尔自治区涂阳肺结核时空格局分析[J]. 中国防痨杂志, 2020, 42(6): 597-603.
[7]	张顺先, 邱磊, 张少言, 李翠, 胡骏, 田黎明, 鹿振辉. ARIMA模型的建立及对中国肺结核月报告例数的预测效果研究[J]. 中国防痨杂志, 2020, 42(6): 614-620.
[8]	肖筱, 陈静, 李向群, 夏珍, 栾瑞融, 饶立歆, 沈鑫. 2009—2017年上海市学生肺结核疫情特征分析[J]. 中国防痨杂志, 2020, 42(5): 498-502.
[9]	林建, 林淑芳, 戴志松, 赵永, 魏淑贞, 周银发. 福建省非结核分枝杆菌菌种分布及其流行病学特征初步研究[J]. 中国防痨杂志, 2020, 42(5): 518-522.
[10]	沈鸿程,杜雨华,吴桂锋,雷宇,李铁钢,刘健雄. 2008—2018年广州市报告新发肺结核流行特征分析[J]. 中国防痨杂志, 2020, 42(4): 322-326.
[11]	赖铿,吴桂锋,雷宇,谢玮,王挺,钟敏儿,杜雨华. 2014—2018年广州市肺结核发病空间分布特征分析[J]. 中国防痨杂志, 2020, 42(4): 327-334.
[12]	姚晶, 顾凯侃, 李智红, 韩志英, 张怀庆. 2014—2019年上海市静安区老年与非老年肺结核流行特征对比分析[J]. 中国防痨杂志, 2020, 42(12): 1323-1328.
[13]	赵珍,刘年强,依帕尔·艾海提,王希江. 2008—2018年新疆维吾尔自治区肺结核空间流行病学特征分析[J]. 中国防痨杂志, 2019, 41(8): 893-899.
[14]	刘年强,赵珍,依帕尔·艾海提,王希江,崔燕. 2008—2017年新疆维吾尔自治区菌阳肺结核流行病学特征分析[J]. 中国防痨杂志, 2019, 41(7): 727-730.
[15]	朱士玉,沈利,王中林,杨镇源,朱建明. 2013—2017年上海市金山区新登记肺结核患者时空聚集性分析[J]. 中国防痨杂志, 2019, 41(7): 731-737.

黔南州结核病传染源调查研究

The investigation of the tuberculosis infectious source in Qiannan prefecture state

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

友情链接