采取因地制宜的措施 加强重点人群结核病防控

doi:10.3969/j.issn.1000-6621.2021.03.005

摘要/Abstract

摘要：

随着结核病防治工作的不断深入,加强重点人群防控的重要性越来越凸显。笔者总结中国现行重点人群结核病防控策略的要点,分析其存在的问题和不足。同时,基于中国地域广阔,结核病疫情不均衡,各地重点人群特征亦有不同的特点,笔者建议应依据各地实际情况界定重点人群、重点场所和重点时段,并提出了具体施策意见。

关键词: 结核, 人群监测, 综合预防, 传染病控制

Abstract:

Strengthening key populations management is becoming more and more important for improving tuberculosis control nationwide. Authors summarized the key points and analyzed shortcomings of current tuberculosis control strategy in high risk population in this article. Considering the structure and characteristics of the key populations vary between region and region in terms of social development and TB epidemic, different strategies should be developed according to the local conditions. Authors suggest that precise tuberculosis control strategy should be implemented based on the risk classification of populations, places and times, and provide specific measurements.

Key words: Tuberculosis, Population surveillance, Universal precautions, Communicable disease control

成君, 张灿有, 陈卉, 张慧, 赵雁林. 采取因地制宜的措施加强重点人群结核病防控[J]. 中国防痨杂志, 2021, 43(3): 217-221. doi: 10.3969/j.issn.1000-6621.2021.03.005

CHENG Jun, ZHANG Can-you, CHEN Hui, ZHANG Hui, ZHAO Yan-lin. Strengthen tuberculosis control strategy in key populations according to local conditions[J]. Chinese Journal of Antituberculosis, 2021, 43(3): 217-221. doi: 10.3969/j.issn.1000-6621.2021.03.005

参考文献 30

[1]	Wang L, Zhang H, Ruan Y, et al. Tuberculosis prevalence in China, 1990—2010; a longitudinal analysis of national survey data. Lancet, 2014,383(9934):2057-2064. doi: 10.1016/S0140-6736(13)62639-2. doi: 10.1016/S0140-6736(13)62639-2 URL pmid: 24650955
[2]	World Health Organization. Global tuberculosis report 2020. Geneva:World Health Organization, 2020.
[3]	Huynh GH, Klein DJ, Chin DP, et al. Tuberculosis control strategies to reach the 2035 global targets in China: the role of changing demographics and reactivation disease. BMC Med, 2015,13:88. doi: 10.1186/s12916-015-0341-4. doi: 10.1186/s12916-015-0341-4 URL
[4]	World Health Organization. Systematic Screening for Active Tuberculosis: Principles and Recommendations. Geneva:World Health Organization, 2013.
[5]	中华人民共和国国务院办公厅. 国务院办公厅关于印发全国结核病防治规划(2011—2015年)的通知. 国办发〔2011〕53号. 2011-12-06.
[6]	中华人民共和国国务院办公厅. 国务院办公厅关于印发“十三五”全国结核病防治规划的通知. 国办发〔2017〕16号. 2017-02-01.
[7]	中华人民共和国国家卫生健康委员会, 中华人民共和国国家发展改革委员会, 中华人民共和国教育部, 等. 遏制结核病行动计划(2019—2022年). 国卫疾控发〔2019〕41号. 2019-05-31.
[8]	中华人民共和国国家卫生健康委员会办公厅. 关于印发中国结核病预防控制工作技术规范(2020年版)的通知. 国卫办疾控函〔2020〕279号. 2020-04-02.
[9]	中华人民共和国国家卫生健康委员会. 关于印发中国学校结核病防控指南的通知. 国卫办疾控函〔2020〕910号. 2020-10-16.
[10]	王宇. 全国第五次结核病流行病学抽样调查资料汇编. 北京: 军事医学科学出版社, 2011: 24.
[11]	Cheng J, Wang L, Zhang H, et al. Diagnostic value of symptom screening for pulmonary tuberculosis in China. PLoS One, 2015,10(5):e0127725. doi: 10.1371/journal.pone.0127725. doi: 10.1371/journal.pone.0127725 URL pmid: 26001190
[12]	Lin Y, Li L, Mi F, et al. Screening patients with diabetes mellitus for tuberculosis in China. Trop Med Int Health, 2012,17(10):1302-1308. doi: 10.1111/j.1365-3156.2012.03069.x. doi: 10.1111/j.1365-3156.2012.03069.x URL pmid: 22830951
[13]	Lin Y, Innes A, Xu L, et al. Screening of patients with diabetes mellitus for tuberculosis in community health settings in China. Trop Med Int Health, 2015,20(8):1073-1080. doi: 10.1111/tmi.12519. doi: 10.1111/tmi.12519 URL pmid: 25877338
[14]	World Health Organization. Latent tuberculosis infection. Updated and consolidated guidelines for programmatic management. Geneva:World Health Organization, 2018.
[15]	殷继国, 何卫华, 练祖银, 等. HIV/AIDS患者结核感染预防性治疗效果评价研究. 中国防痨杂志, 2010,32(12):791-794.
[16]	刘玉清, 屠德华, 安燕生, 等. 大学生结核病控制的研究:(二)结核感染者的预防性治疗. 中国防痨杂志, 2005,27(3):139-142.
[17]	刘雪洋, 支晨曦, 潘宏伟, 等. 某煤矿接尘工人下呼吸道疾病的患病现状调查. 中华劳动卫生职业病杂志, 2019,37(7):509-513. doi: 10.3760/cma.j.issn.1001-9391.2019.07.006.
[18]	黎东霞, 杨梅, 杨雅愉, 等. 17071名接尘工人职业健康检查结果分析. 工业卫生与职业病, 2017,43(4):276-279. doi: 10.13692/j.cnki.gywsyzyb.2017.04.010.
[19]	唐云霞, 曲亚斌, 李华, 等. 矽肺矿工肺结核患病情况及结核菌素反应的调查分析. 环境与职业医学, 2005,22(3):261-263.
[20]	Macedo Couto R, Ranzani OT, Waldman EA. Zoonotic Tuberculosis in Humans: Control, Surveillance, and the One Health Approach. Epidemiol Rev, 2019,41(1):130-144. doi: 10.1093/epirev/mxz002. doi: 10.1093/epirev/mxz002 URL pmid: 32294188
[21]	World Health Organization. Global tuberculosis report 2017. Geneva:World Health Organization, 2017.
[22]	Gallivan M, Shah N, Flood J. Epidemiology of human Mycobacterium bovis disease, California, USA, 2003—2011. Emerg Infect Dis, 2015,21(3):435-443. doi: 10.3201/eid2103.141539. doi: 10.3201/eid2103.141539 URL pmid: 25693687
[23]	Davidson JA, Loutet MG, O’Connor C, et al. Epidemiology of Mycobacterium bovis disease in humans in England, Wales, and Northern Ireland, 2002—2014. Emerg Infect Dis, 2017,23(3):377-386. doi: 10.3201/eid2303.161408. doi: 10.3201/eid2303.161408 URL pmid: 28220748
[24]	Valle MB, Torres-González P, Cervera-Hernández ME, et al. Trends of Mycobacterium bovis isolation and first-line anti-tuberculosis drug susceptibility profile: a fifteen-year laboratory-based surveillance. PLoS Negl Trop Dis, 2015,9(9):e0004124. doi: 10.1371/journal.pntd.0004124. doi: 10.1371/journal.pntd.0004124 URL pmid: 26421930
[25]	Chen Y, Chao Y, Deng Q, et al. Potential challenges to the stop TB plan for humans in China; cattle maintain M.bovis and M.tuberculosis. Tuberculosis, 2009,89(1):95-100. doi: 10.1016/j.tube.2008.07.003. doi: 10.1016/j.tube.2008.07.003 URL pmid: 19056318
[26]	贾俊青, 岳建军, 孙晓燕, 等, 脊柱结核病灶分枝杆菌培养菌种鉴定及耐药分析. 中国药物与临床, 2012,12(增刊):22-24.
[27]	田玉莲, 徐英, 常海霞. 2009—2015年乌鲁木齐地区住院流浪精神病患者并发传染病流行病学分析. 实用预防医学, 2017,24(10):1237-1239. doi: 10.3969/j.issn.1006-3110.2017.10.025.
[28]	Thrupp L, Bradley S, Smith P, et al. Tuberculosis prevention and control in long-term-care facilities for older adults. Infect Control Hosp Epidemiol, 2004,25(12):1097-1108. doi: 10.1086/502350. doi: 10.1086/502350 URL pmid: 15636299
[29]	陈军华, 黄谷孙, 陈宏辉. 2008—2012 年日本结核病流行病学分析. 传染病信息, 2016,29(1):47-51. doi: 10.3969/j.issn.1007-8134.2016.01.009.
[30]	Gao L, Zhang H, Xin H, et al. Short-course regimens of rifapentine plus isoniazid to treat latent tuberculosis infection in older Chinese patients: a randomised controlled study. Eur Respir J, 2018,52(6):1801470. doi: 10.1183/13993003.01470-2018. doi: 10.1183/13993003.01470-2018 URL pmid: 30361241