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越南河内结核病患病率调查。

A survey of tuberculosis prevalence in Hanoi, Vietnam.

作者信息

Horie T, Lien L T, Tuan L A, Tuan P L, Sakurada S, Yanai H, Keicho N, Nakata K

机构信息

Islands Public Health Center, Hachijo, Tokyo, Japan.

出版信息

Int J Tuberc Lung Dis. 2007 May;11(5):562-6.

Abstract

OBJECTIVE

To assess the prevalence of tuberculosis (TB) in Hanoi, Vietnam, in 2003/2004.

METHODS

A random selection was carried out involving 11624 subjects from 20 communes within the city.

RESULTS

On chest X-ray examination, 317 subjects (2.73%) showed abnormal lung opacity, of which 17 were sputum smear-positive, two concentrated smear-positive and three culture-positive, all with active TB. The prevalence of sputum smear-positive pulmonary TB was 146 per 100000 in persons aged >or=15 years (95%CI 65-228).

CONCLUSION

This is the first large-scale assessment of the prevalence of TB in Hanoi. The prevalence rate was higher than expected, suggesting that a significant number of patients with active TB, particularly females, remain undiagnosed, thus representing a continuing potential source of transmission in the community.

摘要

目的

评估2003/2004年越南河内市结核病(TB)的患病率。

方法

从该市20个公社随机选取11624名受试者。

结果

胸部X线检查显示,317名受试者(2.73%)肺部有异常阴影,其中17人痰涂片阳性,2人浓缩涂片阳性,3人培养阳性,均为活动性结核病。15岁及以上人群中痰涂片阳性肺结核的患病率为每10万人146例(95%可信区间65 - 228)。

结论

这是对河内市结核病患病率的首次大规模评估。患病率高于预期,表明大量活动性结核病患者,尤其是女性,仍未被诊断出来,因此仍是社区中持续的潜在传播源。

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