Marica Constantin, Chiotan Domnica, Didilescu Cristian, Popescu-Hagen Mara, Tănăsescu Mihaela, Galie Nicolae
Institutul de Pneumologie Marius Nasta, Bucureşti.
Pneumologia. 2009 Jan-Mar;58(1):29-38.
The high level of TB incidence places Romania among first places in Europe and on the first place in European Union; in the last years a slowly, but hopefully descending trend can be observed (from 114.2 per hundred thousand in 2006 to 109.8 per hundred thousand in 2007 and 108 per hundred thousand in 2008). TB incidence in children has also decreased from 31.6 per hundred thousand in 2006 to 30.8 per hundred thousand in 2007 and 28.5 per hundred thousand in 2008. TB mortality decreased to 7.8 per hundred thousand in 2006 and 7.4 per hundred thousand in 2007. Every year, 800 cases with MDR TB are notified in Romania. The results obtained in the cohort of new patients with pulmonary SS(+) tuberculosis: the success rate reached in 2003 was 79.5% and 83.9% in 2006. The success rate was greater in pulmonary patients confirmed by culture: 82% in 2003 and 85.5% in 2006. In conclusion, the results of NTP implementation in Romania, reflected by the evolution of the principal epidemio-metrical indicators (decrease of the global incidence, TB incidence at children, TB mortality and increase of therapeutical successes) confirms the TB control activities efficacy.
结核病的高发病率使罗马尼亚在欧洲名列前茅,在欧盟中位居第一;在过去几年中,可以观察到一种缓慢但有望下降的趋势(从2006年的每十万人114.2例降至2007年的每十万人109.8例和2008年的每十万人108例)。儿童结核病发病率也从2006年的每十万人31.6例降至2007年的每十万人30.8例和2008年的每十万人28.5例。结核病死亡率在2006年降至每十万人7.8例,在2007年降至每十万人7.4例。罗马尼亚每年报告800例耐多药结核病病例。新发肺部涂片阳性结核病患者队列取得的结果:2003年达到的成功率为79.5%,2006年为83.9%。经培养确诊的肺部患者成功率更高:2003年为82%,2006年为85.5%。总之,罗马尼亚国家结核病防治规划实施的结果,通过主要流行病学指标的变化(全球发病率、儿童结核病发病率、结核病死亡率下降以及治疗成功率提高)反映出来,证实了结核病控制活动的成效。