Active Pulmonary Tuberculosis Case Detection and Treatment Among Floating Population in China: An Effective Pilot

Active Pulmonary Tuberculosis Case Detection and Treatment Among Floating Population in China: An Effective Pilot
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DOI:
10.1007/s10903-010-9336-6
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发表时间:
2010-12-01
影响因子:
1.9
通讯作者:
Wang, Lixia
Wang, Lixia
中科院分区:
医学4区
文献类型:
--
作者:
Li, Xinxu;Zhang, Hui;Wang, Lixia

文献摘要

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由于改革开放,我国的流动人口越来越多。中国作为世界上结核病控制负担最重的国家之一,流动人口结核病的发现和治疗面临着更大的挑战。目的评价中国第五轮全球基金结核病控制项目流动人口结核病控制试点项目的发现和治疗效果。2006年10月至2008年9月,在天津、上海、江苏、浙江、福建、山东和广东的60个县逐步开展试点。收集了试点项目的所有季度报告,并对这些材料进行了总结和分析。沿海7省2年共登记流动人口活动性肺结核19,584例。在活动性肺结核病例中,15-45岁占87.2%,男性占62.8%。在第二年,登记了15,629例活动性肺结核病例,整体登记率为每10万人68例。2年内对18,125例活动性肺结核患者进行了DOT治疗,总DOT治疗率为92.6%。第一年登记的活动性肺结核病例为3,955例,总治愈率为86.0%。通过试点项目的实施,中国试点地区流动人口结核病的发现和治疗得到了加强。试点项目的有益经验和成果正在逐步向全国推广。
China has more and more floating population because of reform and opening-up. As one of the high burden countries in tuberculosis (TB) control in the world, China has to face more challenges about the TB case detection and treatment among floating population in China. Aim to evaluate the effect of case detection and treatment of the Floating Population TB Control Pilot Project from Global Fund Round Five (GFR5) TB Control Program in China. During October 2006 to September 2008, the pilot project was implemented gradually in 60 counties in Tianjin, Shanghai, Jiangsu, Zhejiang, Fujian, Shandong and Guangdong. All quarterly reports of the pilot project were collected, and these materials were summarized and analyzed. In seven coastal provinces, 19,584 active pulmonary TB (PTB) cases were registered among floating population in 2 years. Among the active PTB cases, 87.2% were 15-45 years old, and 62.8% were male. In second year, 15,629 active PTB cases were registered, and the overall registration rate was 68 per 100,000 people. DOT treatments were provided for 18,125 active PTB cases in 2 years, and overall DOT treatment rate was 92.6%. There were 3,955 active PTB cases registered in first year, and the overall cure rate was 86.0%. Through the implementation of the pilot project, the TB case detection and treatment among floating population have been enhanced in pilot areas of China. The useful experience and results from the pilot project have been being gradually generalized nationally.