车洋, 于梅, 平国华, 林相, 李宗宝. 浙江省宁波地区流动人口结核病耐药现状及影响因素研究[J]. 疾病监测, 2012, 27(6): 446-448,453. DOI: 10.3784/j.issn.1003-9961.2012.6.009
引用本文: 车洋, 于梅, 平国华, 林相, 李宗宝. 浙江省宁波地区流动人口结核病耐药现状及影响因素研究[J]. 疾病监测, 2012, 27(6): 446-448,453. DOI: 10.3784/j.issn.1003-9961.2012.6.009
CHE Yang, YU Mei, PING Guo-hua, LIN Xiang, LI Zong-bao. Prevalence of drug-resistant tuberculosis and risk factors in floating population in Ningbo, Zhejiang[J]. Disease Surveillance, 2012, 27(6): 446-448,453. DOI: 10.3784/j.issn.1003-9961.2012.6.009
Citation: CHE Yang, YU Mei, PING Guo-hua, LIN Xiang, LI Zong-bao. Prevalence of drug-resistant tuberculosis and risk factors in floating population in Ningbo, Zhejiang[J]. Disease Surveillance, 2012, 27(6): 446-448,453. DOI: 10.3784/j.issn.1003-9961.2012.6.009

浙江省宁波地区流动人口结核病耐药现状及影响因素研究

Prevalence of drug-resistant tuberculosis and risk factors in floating population in Ningbo, Zhejiang

  • 摘要: 目的 初步了解宁波市流动人口结核病耐药状况及相关因素,为流动人口结核病控制策略的完善提供参考依据。 方法 将宁波市2007-2010年结核病耐药监测资料中的流动人口痰培养阳性肺结核病例作为研究对象,并对所有分离培养阳性菌株进行菌型鉴定及利福平、异烟肼、链霉素及乙胺丁醇敏感性测试,分析流动人口耐药结核病耐药状况及相关因素。 结果 研究共纳入痰培养阳性肺结核患者562例,其中结核分枝杆菌复合群501例(占89.1%),非结核分枝杆菌61例(占10.8%);总的耐药率为31.9%(160/501),耐多药率为6.9%(35/501);新发患者的耐药率为28.0%(124/442),耐多药率为4.8%(21/442);复治患者的耐药率为61.0%(36/59),耐多药率为23.7%(14/59)。经单因素及多因素分析,化疗史是耐药及耐多药结核病的相关因素。 结论 宁波地区流动人口结核病耐药率较高,需根据流动人口特点加强结防工作。

     

    Abstract: Objective To understand the prevalence of drug resistant tuberculosis (TB) and related risk factors in floating population in Ningbo, and provide evidence for the prevention and control of TB. Methods All the sputum culture positive TB patients in floating population were recruited as study subjects during the drug resistant TB surveillance in Ningbo from 2007 to 2010. The identification of culture positive strains and drug susceptibility test of these strains to isoniazid, rifampicin, streptomycin and ethambutol were conducted. Univariate and multivariate analysis were performed on the drug resistance related factors. Results Among 562 TB patients recruited in the study, 501 were infected with Mycobacterium tuberculosis complex (89.1%) and 61 were infected with Mycobacterium non-tuberculosis. The total drug resistant rate was 31.9% (160/501), the total multi-drug resistant (MDR) rate was 6.9% (35/501). The initial drug resistant rate was 28.0% (124/442), and the initial MDR rate was 4.8% (21/442). The acquired drug resistant rate was 61.0% (36/59) and the acquired MDR rate was 23.7% (14/59). The history of previous TB treatment was significantly associated with TB drug resistance. Conclusion The prevalence of drug resistant TB in floating population was high in Ningbo, suggesting the necessity to strengthen the TB control in floating population.

     

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