Nhung Nguyen Viet, Hoa Nguyen Binh, Khanh Pham Huyen, Hennig Cornelia
National Tuberculosis Programme Vietnam, Ha Noi, Viet Nam .
National Tuberculosis Programme Vietnam, Ha Noi, Viet Nam . ; Centre for Operational Research, International Union Against Tuberculosis and Lung Disease, Paris, France .
Western Pac Surveill Response J. 2015 Feb 9;6(1):7-14. doi: 10.2471/WPSAR.2014.5.2.005. eCollection 2015 Jan-Mar.
Tuberculosis (TB) remains a major cause of morbidity and mortality, and Viet Nam ranks 12 among the 22 high-TB burden countries. This study analyses surveillance data of the National Tuberculosis Control Programme in Viet Nam for the six-year period 2007 to 2012. During the study period, 598,877 TB cases (all forms) were notified, and 313,225 (52.3%) were new smear-positive cases. The case notification rate of new smear-positive cases was decreased, from 65 per 100,000 population in 2007 to 57 per 100,000 population in 2012; this decrease was observed for males and females in all age groups except males aged 0-14 and females aged 15-24 years. The male-to-female ratio of new smear-positive TB cases increased from 2.85 in 2007 to 3.02 in 2012. The average annual cure rate of new smear-positive cases was 90.3%. The high male-to-female ratio for new smear-positive TB cases in this notification data was lower than that from the 2007 TB prevalence survey in Viet Nam, suggesting a lower case detection for males. The decrease in new smear-positive case notification rates may reflect a decline in TB incidence in Viet Nam as several programmatic improvements have been made, although further research is required to increase case detection among young males and children.
结核病仍然是发病和死亡的主要原因,越南在22个结核病高负担国家中排名第12位。本研究分析了越南国家结核病控制规划2007年至2012年这六年期间的监测数据。在研究期间,共报告了598,877例结核病病例(所有类型),其中313,225例(52.3%)为新涂片阳性病例。新涂片阳性病例的病例报告率有所下降,从2007年的每10万人65例降至2012年的每10万人57例;除0-14岁男性和15-24岁女性外,所有年龄组的男性和女性均出现了这种下降。新涂片阳性结核病病例的男女比例从2007年的2.85增至2012年的3.02。新涂片阳性病例的年均治愈率为90.3%。该报告数据中新涂片阳性结核病病例的高男女比例低于越南2007年结核病患病率调查的比例,这表明男性病例的检出率较低。新涂片阳性病例报告率的下降可能反映了越南结核病发病率的下降,因为已经在规划方面做出了一些改进,不过还需要进一步研究以提高年轻男性和儿童中的病例检出率。