2015年吉林省肺结核流行特征及患者发现情况分析

发布时间：2018-01-16 12:18

本文关键词：2015年吉林省肺结核流行特征及患者发现情况分析　出处：《中国全科医学》2017年11期 　论文类型：期刊论文

【摘要】：目的分析2015年吉林省肺结核流行特征及患者发现情况,为制定肺结核防治策略提供科学依据。方法2016年3——6月,通过传染病信息报告管理系统和结核病管理信息系统,收集2015年吉林省报告的肺结核患者人口学特征、肺结核及疑似肺结核患者转诊追踪、密切接触者筛查、患者发现方式等数据。结果 2015年吉林省共报告肺结核患者15 537例,其中涂阳患者4 477例,肺结核报告发病率为56.45/10万。肺结核报告发病率居前5位的地区分别为长春(64.64/10万)、四平(63.24/10万)、白城(62.26/10万)、吉林(57.66/10万)、辽源(57.40/10万)。男性肺结核发病率为77.64/10万,女性肺结核发病率为34.49/10万。0~14岁男性、女性肺结核发病率均较低,在15~24岁出现发病率小高峰,随着年龄的增长,发病率呈波动性增长趋势。肺结核患者职业以农牧渔民为主(8 514例,54.80%)。非结核病防治机构共报告应转诊肺结核及疑似肺结核患者10 063例,到位9 228例,总体到位率为91.70%。共登记涂阳肺结核患者的密切接触者8 282例,开展肺结核症状筛查8 280例,症状筛查率为99.98%。肺结核患者主要以被动发现方式为主,共12 815例〔98.80%(12 815/12 970)〕,主动方式(密切接触者检查、健康检查)发现患者155例〔1.20%(155/12 970)〕。结论吉林省应加强青年和农牧渔民肺结核防治工作,扩大健康检查人群,最大限度地发现肺结核患者,减少肺结核传播。
[Abstract]:Objective to analyze the epidemiological characteristics of pulmonary tuberculosis in Jilin province on 2015 and to provide scientific basis for the formulation of tuberculosis prevention and control strategy. Methods from 2016 to June. Through the infectious disease information report management system and the tuberculosis management information system, collected 2015 Jilin Province reported tuberculosis patient demographic characteristics, tuberculosis and suspected tuberculosis patients referral tracking. Results in 2015, 15 537 cases of pulmonary tuberculosis were reported in Jilin Province, including 4 477 cases of smear positive. The reported incidence of tuberculosis was 56.45 / 100, 000. The top five reported incidence of tuberculosis were 64.64% / 100 000 in Changchun and 63.24% / 100 million in Siping respectively. Baicheng 62.26 / 100,000, Jilin 57.66 / 100,000, Liaoyuan 57.40 / 100,000.The incidence of male tuberculosis is 77.64 / 100,000. The incidence of pulmonary tuberculosis in females was 34.49 / 100,000,000.14 years old male, the incidence of female tuberculosis was lower than that of females, and there was a small peak in 1524 years old, with the increase of age. The incidence of pulmonary tuberculosis was increasing in a fluctuating trend, and 8 514 cases of pulmonary tuberculosis were mainly found in agriculture, animal husbandry and fishermen. 54.80. Non-TB control institutions reported 10 063 cases of tuberculosis and suspected tuberculosis cases, 9 228 cases in place. The total arrival rate was 91.70. A total of 8,282 cases of close contact with smear positive pulmonary tuberculosis patients were registered, and 8,280 cases of pulmonary tuberculosis symptom screening were carried out. The symptom screening rate was 99.988.The patients with pulmonary tuberculosis were mainly found in passive mode, 12 815 cases were 98.80% and 12 815/12 970%). The active way (close contact examination, health examination) found 155 cases of 1. 20% 1. 20% 12 970. Conclusion Jilin Province should strengthen the prevention and control of pulmonary tuberculosis among young people and agricultural, pastoral and fishermen. Expand the health examination population, maximize the detection of tuberculosis patients, reduce the spread of tuberculosis.
【作者单位】：吉林省结核病防治科学研究院;
【分类号】：R521;R181.3
【正文快照】： 世界卫生组织(WHO)报告显示,2014年我国新发肺结核患者93万例,位列全球第3位[1]。我国结核病流行严重,是全球22个结核病高负担国家之一。在我国传染病疫情网络报告中,肺结核发病和报告死亡数居甲、乙类传染病前列[2]。面对严峻的疫情形势,全面分析结核病疫情现况,提高患者发现

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