Ibraim Elmira, Cioran Nicoleta, Cocei Horia
Institutul de Pneumologie "Marius Nasta" - Programul National de Control al Tuberculozei, Bucureşti.
Pneumologia. 2012 Apr-Jun;61(2):78-83.
Tuberculosis (TB) has not been eliminated from none of the world's regions up to now. Trends of TB endemic were constantly favorable in Romania in the recent years: number of new cases and relapses decreased with 13 235, incidence rate with 42%, incidence rate in children with 51% and mortality rate with 44%, from 2002 to 2011. The highest TB risk is being observed in men living in rural area and in those of 45-54 age group. The counties with the highest TB incidence rates are those in the South-West part of the country. The favorable trend of TB endemic in Romania has been achieved through a constant case detection rate over 70% and a treatment success rate over 80% in the recent years. The current major concerns in TB control in the country, as well as all over the world, are TB-HIV co-infection and micobacterial drug-resistance. Also, a negative aspect of TB endemic in Romania is that a number of severe forms of TB, TB-HIV, MDR-TB or deaths are still reported in children under 15 years old, each year. The response of health system to the TB problem consists in the development of the National TB Programme, which achieved many successes in the recent years, but in the same time is confronted with many challenges. However, the programatic control of the disease can be obtained by health services only in partnership with other services, institutions and organizations, which may offer economic and social support to the patients and their families.
迄今为止,结核病在世界任何地区都尚未被消灭。近年来,罗马尼亚结核病流行趋势持续向好:从2002年到2011年,新发病例和复发病例数量减少了13235例,发病率下降了42%,儿童发病率下降了51%,死亡率下降了44%。结核病风险最高的人群是农村地区的男性以及45至54岁年龄组的人群。结核病发病率最高的县位于该国西南部。近年来,罗马尼亚通过持续保持70%以上的病例发现率和80%以上的治疗成功率,实现了结核病流行趋势的好转。该国以及全球目前在结核病控制方面主要关注的问题是结核病与艾滋病病毒合并感染以及分枝杆菌耐药性。此外,罗马尼亚结核病流行的一个负面情况是,每年仍有15岁以下儿童出现一些严重的结核病形式、结核病与艾滋病病毒合并感染、耐多药结核病或死亡病例。卫生系统对结核病问题的应对措施包括制定国家结核病规划,该规划近年来取得了许多成功,但同时也面临诸多挑战。然而,只有通过卫生服务部门与其他可能为患者及其家庭提供经济和社会支持的服务、机构及组织合作,才能实现对该疾病的规划性控制。