徐奋奋, 李萍萍, 平国华. 浙江省宁波市江北区流动人口肺结核发病状况与耐药分析[J]. 疾病监测, 2011, 26(7): 519-521. DOI: 10.3784/j.issn.1003-9961.2011.07.006
引用本文: 徐奋奋, 李萍萍, 平国华. 浙江省宁波市江北区流动人口肺结核发病状况与耐药分析[J]. 疾病监测, 2011, 26(7): 519-521. DOI: 10.3784/j.issn.1003-9961.2011.07.006
XU Fen-fen, LI Ping-ping, PING Guo-hua. Incidence and drug resistance of pulmonary tuberculosis in floating population in Jiangbei district in Ningbo[J]. Disease Surveillance, 2011, 26(7): 519-521. DOI: 10.3784/j.issn.1003-9961.2011.07.006
Citation: XU Fen-fen, LI Ping-ping, PING Guo-hua. Incidence and drug resistance of pulmonary tuberculosis in floating population in Jiangbei district in Ningbo[J]. Disease Surveillance, 2011, 26(7): 519-521. DOI: 10.3784/j.issn.1003-9961.2011.07.006

浙江省宁波市江北区流动人口肺结核发病状况与耐药分析

Incidence and drug resistance of pulmonary tuberculosis in floating population in Jiangbei district in Ningbo

  • 摘要: 目的 了解宁波市江北区流动人口肺结核发病情况及菌株耐药状况,为今后结核病防治工作提供参考依据。 方法 收集2008 - 2010 年期间宁波市江北区疾病预防控制中心(CDC)登记的辖区所有肺结核病例资料进行分析,对涂阳病例的菌株采用绝对浓度间接法对4种抗结核药物异烟肼(H)、利福平(R)、链霉素(S)、乙胺丁醇(E)进行药敏试验。 结果 江北区流动人口肺结核病例占全区总结核病例的50.6%,近2年病例数逐年增加。发病人群主要为青壮年的工人与民工,占68.8%。发现模式主要为因症就诊,占65.2%。流动人口肺结核的总耐药率为37.1%,耐多药率为12.9%,初治耐药率为32.1%,获得性耐药率为66.7%。4种药物耐药率依次为耐利福平(R)占12.9%,耐异烟肼(H)占19.4%,耐链霉素(S)占21.1%、耐乙胺丁醇(E)占6.5%。 结论 流动人口已成为宁波市江北区肺结核患者的主要来源,耐药率较高,需要加强流动人口的结核病防治工作。

     

    Abstract: Objective To understand the incidence and drug resistance of pulmonary tuberculosis (TB) in floating population in Jiangbei district and provide scientific evidence for the prevention and control of TB. Methods The analysis was conducted on the incidence data of pulmonary TB reported by Jiangbei CDC from 2008 to 2010, and the drug susceptibility tests of smear positive strains to isoniazide, rifampin, streptomycin and ethambutol were conducted. Results The pulmonary TB cases in floating population accounted for 50.6% of the total in Jiangbei, and most cases were young workers and migrant workers (68.8%). The cases were mainly found through medical care seeking, accounting for 65.2%. In the TB cases in floating population, the overall drug resistant rate was 37.1%, the multi-drug resistant rate was 12.9%, the drug resistant rate in initial treatment was 32.1% and acquired drug resistant rate was 66.7%. The resistant rates to rifampin, isoniazid, streptomycin and ethambutol were 12.9%, 19.4%, 21.1%, and 6.5% respectively. Conclusion Pulmonary TB cases mainly occurred in floating population in Jiangbei, and the drug resistance was serious. It is necessary to strengthen the prevention and control of TB in floating population.

     

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