不丹的儿童结核病：概况与治疗结果
Childhood tuberculosis in Bhutan: profile and treatment outcomes.
作者信息
Dendup T, Dorji T, Edgnton M E, Kumar A M V, Wangchuk D, Dophu U, Jamtsho T, Rinzin C
机构信息
National Tuberculosis Control Programme, Ministry of Health, Thimphu, Bhutan.
Communicable Diseases Division, Department of Public Health, Ministry of Health, Thimphu, Bhutan.
出版信息
Public Health Action. 2013 Mar 21;3(1):11-4. doi: 10.5588/pha.12.0091. Epub 2013 Mar 4.
SETTING
All hospitals and health centres under the National Tuberculosis Control Programme (NTCP) in Bhutan.
OBJECTIVE
To describe the number and proportion of childhood tuberculosis (TB) cases registered under the NTCP in 2010, their demographic and clinical characteristics and any associations with treatment outcomes.
DESIGN
Retrospective cohort study involving a review of TB treatment cards and registers.
RESULTS
Of 1332 TB cases registered, 187 (14%) were children aged <15 years, 75 (40%) were aged <5 years, and 180 (96%) were new cases; nearly half were extra-pulmonary TB, with lymphadenitis being the most common form. The overall treatment success rate was 93%, and none of the demographic and clinical characteristics were associated with treatment outcomes. A few recording deficiencies were identified.
CONCLUSION
TB in children is well recognised in Bhutan, and their treatment outcomes were excellent.
背景
不丹国家结核病控制规划（NTCP）下的所有医院和健康中心。
目的
描述2010年NTCP登记的儿童结核病（TB）病例数量及比例、其人口统计学和临床特征以及与治疗结果的任何关联。
设计
回顾性队列研究，涉及审查结核病治疗卡和登记册。
结果
在登记的1332例结核病病例中，187例（14%）为15岁以下儿童，75例（40%）为5岁以下儿童，180例（96%）为新病例；近一半为肺外结核病，淋巴结炎是最常见的形式。总体治疗成功率为93%，人口统计学和临床特征均与治疗结果无关。发现了一些记录缺陷。
结论
不丹对儿童结核病有充分认识，且儿童结核病治疗效果良好。
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