摘要
目的总结广东口岸赴美移民肺结核(pulmonary tuberculosis,PTB)筛查情况,为完善广东口岸PTB防控策略提供科学依据。方法参照美国疾控中心《移民要求:结核病筛查与治疗的技术指导》对2010—2016年广东口岸163976名赴美移民进行PTB筛查及诊断,采用SPSS 21.0对PTB监测资料进行回顾性分析。结果 2010—2016年广东口岸进行痰检的申请人7 265人,报告PTB病例598例,总检出率为364.69/10万。男性PTB病例检出率为538.94/10万,女性PTB病例检出率为227.68/10万,男性检出率显著高于女性(χ~2=107.74,P<0.01),且随年龄增长而显著升高(χ~2=220.57,P<0.01)。农民、无业人员、离退休人员、工人和学生病例占总数的55.02%;PTB病例检出无明显季节性;广东、广西、湖南、辽宁和山东5省病例占总数的85.28%,江门和广州2市病例占广东省总数的82.92%。痰检涂片阳性率为3.51%,痰培养阳性率为6.10%,PTB确诊病例459例,占总数的76.76%。痰培养阳性PTB病例的总耐药率为19.19%,耐多药率为3.39%。结论广东口岸应加强出入境人员PTB的防控工作,实验室痰检在口岸PTB的病例筛查及确诊中占有重要地位。
Objective To investigate the screening results of pulmonary tuberculosis（PTB） among US immigrant visa applicants at Guangdong port,and to provide scientific reference for perfecting the strategy to control PTB. Methods In accordance to Tuberculosis Screening and Treatment Technical Instructions by US CDC,a total of 163 976 US immigrant visa applicants at Guangdong port from 2010 to 2016 were received TB screening and diagnosis,and the data of PTB was retrospectively analyzed by SPSS 21.0. Results Sputa from 7 265 applicants were tested at Guangdong port from 2010 to 2016,with a total of 598 cases of PTB reported,and the total detection rate was 364.69 per 100 000. The detection rate of male cases of PTB（538.94 per 100 000） was significantly higher than that of female（227.68 per 100 000,χ~2=107.74,P 〈 0.01）,and it increased significantly with age（χ~2=220.57,P 〈 0.01）. Cases of peasants,the unemployed,the retired,workers and students accounted for 55.02% of the total. Cases of PTB were detected without apparent seasonality. Cases from Guangdong,Guangxi,Hunan,Liaoning,and Shandong province accounted for 85.28% of the total. Cases from Jiangmen and Guangzhou city accounted for 82.92 % of cases from Guangdong province. The smear-positive and culture-positive rate of sputum test were 3.51 % and 6.10%,respectively. 459 PTB confirmed cases accounted for 76.76% of the total. Among culture-positive cases of PTB,the total drug-resistance rate was 19.19% and the multidrug resistance rate was 3.39%. Conclusion Guangdong port should strengthen the prevention and control of PTB among entry-exit persons. Laboratory sputum testing plays an important role in the screening and diagnosis of PTB at port.
作者
吴培丰
张建明
吴健
陈建东
梁少军
栗召辉
梁武毅
何洪涛
王向阳
温颖
WU Pei-feng, ZHANG Jian-ming, WU Jian, CHEN Jian-dong, LIANG Shao-jun, LI Zhao-hui, LIANG Wu-yi, HE Hong-tao, WANG Xiang-yang, WEN Ying(Guangdong International Travel Healthcare Center, Guangzhou, Guangdong 510635, Chin)
出处
《中国国境卫生检疫杂志》
CAS
2018年第1期48-51,共4页
Chinese Journal of Frontier Health and Quarantine
基金
国家质检总局科技计划项目(2016IK061)
广东出入境检验检疫局科技计划项目(2017GDK54
2012GDK50)
关键词
肺结核
筛查
移民
广东
口岸
Pulmonary tuberculosis
Screening
Immigrant
Guangdong
Port
