金瑾,景睿.山东省2013年学生肺结核疫情特征分析[J].Chinese journal of Epidemiology,2015,36(8):871-874 |
山东省2013年学生肺结核疫情特征分析 |
Epidemiologic feature of pulmonary tuberculosis in students from Shandong province |
Received:January 21, 2015 |
DOI:10.3760/cma.j.issn.0254-6450.2015.08.022 |
KeyWord: 肺结核 发病率 学生 |
English Key Word: Pulmonary tuberculosis Incidence Students |
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Abstract: |
目的 分析2013年山东省学生肺结核的报告发病率及发病特征。方法 由统计年鉴获得人口数据, 由中国传染病报告信息管理系统获得全人群及学生报告发病情况, 由中国结核病管理信息系统获得登记的学生病例的基本信息与预后信息, 进行肺结核流行特征分析。结果 2013年山东省肺结核报告发病率为37.55/10万, 其中学生肺结核报告发病率为9.67/10万, 学生肺结核发病在4、9月呈现明显高峰, 男生多于女生, 年龄以15~20岁为主, 占一半以上, 诊断分类以涂阴肺结核为主, 学生涂阳肺结核患者的预后和治疗转归情况良好。结论 2013年山东省学生肺结核报告发病率较2011年有所下降, 在全国范围内处于较低水平。高中生和大学新生是肺结核的高发群体。经济水平高、教育资源丰富的大中城市由于学生升学的城际流动导致肺结核报告发病率较高。 |
English Abstract: |
Objective To explore the reported incidence and epidemic features of pulmonary tuberculosis in students of Shandong province in 2013. Methods Population data from the Statistical Yearbook, and the number of reported pulmonary tuberculosis(PTB) patients (students and whole populations) were gathered from the Chinese Infectious Disease Information Management System while the information of prognosis on student patients was from the Chinese Tuberculosis Information Management System. Epidemiological characteristics of the disease was analyzed. Results The overall reported PTB incidence of Shandong province in 2013 was 37.55/100 000, including the reported PTB incidence in students as 9.67/100 000, with a significant peaks seen in students PTB, in April and September. Number of students PTB patients was seen more in males than in females, with half of the number seen in the age groups between 15 to 20, Smear-negative PTB was most frequently used to classify the types of patients. Prognosis and outcomes of treatment on patients with smear-positive tuberculosis were good. Conclusion High school and college students, especially at freshmen years, were under high risk that could cause the epidemics to occur. Recommendions should be targeted on the joint efforts made by both sectors of education and health, to work on this populaton to control the epidemics of PTB. |
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