Tamani T, Bissell K, Tayler-Smith K, Gounder S, Linh N N, Graham S M
Health Information Unit, Ministry of Health, Suva, Fiji.
Department of Operational Research, International Union Against Tuberculosis and Lung Disease, Paris, France ; The University of Auckland, Auckland, New Zealand.
Public Health Action. 2014 Mar 21;4(1):42-6. doi: 10.5588/pha.13.0100.
P J Twomey Hospital, National Tuberculosis Programme, Fiji.
To review the trend in numbers of tuberculosis (TB) cases registered each year from 1950 to 2010 at P J Twomey Hospital, Fiji's largest TB treatment centre and central TB unit, and to consider trends in the context of key TB control events in Fiji.
Descriptive study of data from medical records and TB registers, including age, sex, ethnicity, TB diagnosis and smear result.
Between 1950 and 2010, 14 616 cases were registered at P J Twomey Hospital. Of these, 58% were male, 70% were indigenous Fijians (i-taukei) and 64% were aged 15-49 years. The caseload dropped sharply in the 1960s, and has fallen steadily since 1990. Smear results were available for the majority of cases (91%). Between 1950 and 1985, smear-positive cases accounted for 19% of cases overall; this increased to 41% after 1985 following laboratory training. The numbers of sputum smear-positive cases recorded each year has been increasing in the last decade.
There have been marked changes in TB caseload over the last 60 years at Fiji's largest TB treatment centre. The recent increase in smear-positive cases while total TB cases have been falling needs further evaluation.
斐济国家结核病项目 PJ 特沃梅医院。
回顾1950年至2010年期间，在斐济最大的结核病治疗中心及中央结核病防治单位 PJ 特沃梅医院每年登记的结核病病例数量趋势，并结合斐济关键结核病控制事件来分析这些趋势。
对病历和结核病登记册中的数据进行描述性研究，包括年龄、性别、种族、结核病诊断及涂片结果。
1950年至2010年期间，PJ 特沃梅医院共登记了14616例病例。其中，58%为男性，70%为斐济原住民（伊陶凯），64%年龄在15至49岁之间。病例数量在20世纪60年代急剧下降，自1990年以来持续稳步下降。大多数病例（91%）有涂片结果。1950年至1985年期间，涂片阳性病例占总病例数的19%；1985年后经过实验室培训，这一比例增至41%。在过去十年中，每年记录的痰涂片阳性病例数量一直在增加。
在过去60年里，斐济最大的结核病治疗中心的结核病病例数量发生了显著变化。在结核病总病例数下降的同时，近期涂片阳性病例数却有所增加，这需要进一步评估。
