2013—2016年湖南省耐多药结核病疫情特征

发布时间：2018-06-06 11:40

本文选题：结核 + 肺　；参考：《中国感染控制杂志》2017年08期

【摘要】：目的分析2013—2016年湖南省耐多药结核病(MDR-TB)的流行特征,为结核病预防和控制提供理论依据。方法回顾性分析2013年1月—2016年12月中国疾病预防控制信息系统报告的湖南省结核病患者相关信息。结果 2013—2016年湖南省总耐药登记率为5.53/100万(1 496/270 330 000),耐多药登记率为5.40/100万(1 459/270 330 000),耐药率和耐多药率均呈上升趋势(χ~2趋势分别为113.605、96.590,均P0.001)。MDRTB患者中男性(74.09%)多于女性(25.91%),25岁以上患者较多,尤以45~岁组患者所占比率最高(27.07%);MDR-TB复治患者所占比率(69.91%)较初治患者(30.09%)高。2013—2016年不同地区耐多药登记率分布范围为4.07/100万~7.23/100万。结论 2013—2016年湖南省MDR-TB呈逐年上升趋势,以20岁以上中青年患者为主,男性、复治患者所占比例较大;应加强重点人群的正规治疗及预防,提升发现和诊治MDR-TB患者的能力,减少MDR-TB的传播。
[Abstract]:Objective to analyze the epidemic characteristics of MDR-TB in Hunan province from 2013 to 2016 and to provide theoretical basis for the prevention and control of tuberculosis. Methods from January 2013 to December 2016, the related information of tuberculosis patients in Hunan Province was analyzed retrospectively. Results in 2013-2016, the registration rate of total drug resistance in Hunan Province was 5.53 / 1 million / 1496 / 270,330,000, and the registration rate of multi-drug resistance was 5.40 / 1 million / 145.9 / 270,000 / 270,000, respectively. The rates of drug resistance and multidrug resistance showed an upward trend (蠂 ~ 2 trend was 113.605 ~ 96.590, respectively) in male patients with P0.001).MDRTB (74.09%) than in women (25.91%). There are more patients over the age of years, The rate of MDR-TB retreated patients was 69.91% higher than that of newly treated patients (30.09%). The distribution rate of MDR-TB multidrug resistance in different regions in 2013-2016 was 40.7% -7.23 / 1 million. Conclusion from 2013 to 2016, the trend of MDR-TB in Hunan Province is increasing year by year, in which the young and middle-aged patients over 20 years old are the main group, the male and the re-treated patients account for a large proportion, the regular treatment and prevention of the key population should be strengthened, and the ability of finding and treating MDR-TB patients should be improved. Reduce the spread of MDR-TB.
【作者单位】：湖南省结核病防治所;
【分类号】：R181.3;R52

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