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中国流动人口活动性肺结核病例发现和治疗:一项有效的试点。

Active pulmonary tuberculosis case detection and treatment among floating population in China: an effective pilot.

机构信息

National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Changping District, Beijing, People's Republic of China.

出版信息

J Immigr Minor Health. 2010 Dec;12(6):811-5. doi: 10.1007/s10903-010-9336-6.

Abstract

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.

摘要

中国由于改革开放,流动人口越来越多。作为全球结核病(TB)防控负担较重的国家之一,中国必须面对更多在中国流动人口中发现和治疗结核病病例的挑战。本研究旨在评估全球基金第五轮结核病控制项目(GFR5)流动人口结核病控制试点项目在中国的效果。2006 年 10 月至 2008 年 9 月,该试点项目在天津、上海、江苏、浙江、福建、山东和广东的 60 个县逐步实施。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。在 7 个沿海省份,2 年内共登记流动人口活动性肺结核(PTB)病例 19584 例。活动性 PTB 病例中,15-45 岁占 87.2%,男性占 62.8%。第二年共登记活动性 PTB 病例 15629 例,总登记率为 68/10 万。2 年内共为 18125 例活动性 PTB 病例提供了直接督导下的短程化疗(DOT)治疗,DOT 治疗率总体为 92.6%。第一年共登记活动性 PTB 病例 3955 例,总治愈率为 86.0%。通过实施该试点项目,中国试点地区流动人口结核病的发现和治疗工作得到了加强。试点项目的有益经验和成果已在全国逐步推广。

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