昆明市常驻及流动人口结核杆菌痰涂片及培养分析

Analysis of Sputum Smear and Germiculture in Tubercle Bacillusof Fluid Population in Kunming City

目的:分析昆明市常驻人口及流动人口结核杆菌痰涂片及结核杆菌痰培养及耐药结果,为结核病防治提供参考。方法:选取2005～2008年昆明市疾病预防控制中心诊断为肺结核468例患者,按患者来源分为常驻人口组及流动人口组,进行结核杆菌痰涂片、培养及药敏实验,对比其痰涂片、痰培养阳性率及耐药性差异情况。结果:昆明市常驻人口组患者的痰涂片阳性率63.4%,痰培养阳性率38.9%,流动人口组的痰涂片阳性率51.3%,痰培养阳性率27.3%,流动人口组低于常驻人口组,常驻人口组单药耐药率41.79%,多药耐药率13.4%,流动人口组单药耐药率50.6%,多药耐药率23.5%,常驻人口组低于流动人口组。结论:流动人口结核病患者痰培养阳性率低,结核杆菌耐药常见,需要加大防疫及宣传力度,提高流动人群防疫及规范治疗意识。

Objective：Analysize the results of sputum smear and germiculture in tubercle bacillus（TB）of fluid population and resident population in Kunming City,provide reference for epidemic prevention and treatment in TB.Methods：468 patients who were diagnosed with TB in control disease cenlre of Kunming City from 2005 to 2008 were divided into fluid population groups（FG）and resident population groups（RG）,sputum smear, germiculture and susceptibility test in tubercle bacillus were carried out.the diference of above detecting were contrasted.Results：Positive ratio of sputum smear was 63.4% in RG and 51.3% in FG,positive ratio of germiculture was 38.9% in RG and 51.3% in FG,the percentage was higher in RG,drug fast to Single drug was 41.79% and to multifold drug was 13.4% in RG,drug fast to Single drug was 50.6% and to multifold drug was 23.5% in FG.The percentage was higher in RG.Conelusion：Positive ratio of germieulture in TB was lower in fluid population,drug fast was general,epidemic prevention and propaganda should been reinforced,and improve concept of epidemic prevention and normative treatment.