韩国公务员肺结核发病率。

Incidence of pulmonary tuberculosis in Korean civil servants.

作者信息

Kim S J, Hong Y P, Lew W J, Yang S C, Lee E G

机构信息

Korean Institute of Tuberculosis, Korean National TB Association, Seoul, Korea.

出版信息

Tuber Lung Dis. 1995 Dec;76(6):534-9. doi: 10.1016/0962-8479(95)90530-8.

DOI:10.1016/0962-8479(95)90530-8

PMID:8593375

Abstract

SETTING

Longitudinal epidemiological study based on civil servants in Korea.

OBJECTIVE

To estimate the incidence of pulmonary tuberculosis (PTB) for the general population from a reliable sample.

DESIGN

New active PTB developing between 1988 and 1990 in civil servants has been determined from (1) the findings of biennial medical examinations and (2) perusal of the medical records of those claiming health insurance for tuberculosis (TB).

RESULTS

A total of 790,204 subjects was available for investigation. Active PTB was diagnosed in 5107 patients over the 2 years of the study. Bacteriological examination of 3847 patients yielded 575 (14.9%) positive smears and 350 (9.1%) smear-negative positive cultures from them. Applying these rates to the 1260 whose sputum was not examined, 702 were smear-positive, and 431 were culture-positive. Overall PTB incidence was 393 per 10(5), with 84 and 53 per 10(5) smear- and culture-positive. Incidence was high in males, and in the age group 20-29 years in both sexes.

CONCLUSION

Such high PTB incidence, particularly in the age group 20-29, clearly indicates that TB in Korea remains a serious health problem.

摘要

背景

基于韩国公务员开展的纵向流行病学研究。

目的

通过可靠样本估算普通人群中肺结核（PTB）的发病率。

设计

已根据以下两点确定1988年至1990年间公务员中新发的活动性PTB：（1）两年一次体检的结果；（2）查阅那些申请结核病（TB）医疗保险者的病历。

结果

共有790204名受试者可供调查。在研究的两年期间，5107名患者被诊断为活动性PTB。对3847名患者进行细菌学检查，其中575例（14.9%）涂片阳性，350例（9.1%）涂片阴性培养阳性。将这些比例应用于1260例未进行痰液检查的患者，702例涂片阳性，431例培养阳性。总体PTB发病率为每10万人393例，涂片阳性和培养阳性的发病率分别为每10万人84例和53例。男性以及20至29岁年龄组的两性发病率都很高。