2008—2014年厦门市流动人口结核病疫情特征与防治现状

Epidemic characteristics and the prevention and control of TB among floating population in Xiamen( 2008—2014)

目的 探讨厦门市流动人口结核病患者疫情特征,为制定流动人口结核病防控措施提供依据。方法 采用流行病学描述性研究方法,对2008—2014年厦门市湖里区流动人口结核病患者信息管理系统进行疫情特征分析。结果 2008—2014年湖里区流动人口结核病患者发现数呈先上升后下降趋势,全人口活动性肺结核患者中流动人口患者数比例最大（76.69%-84.69%）;年龄主要在20-29岁,职业以工人为主;转诊是患者的主要来源;诊断以涂阴患者为主;初治涂阳患者的治愈率为81.30%-95.93%;化疗管理方式、系统管理情况、不同患者分类均对患者的治疗情况有显著影响（P〈0.05）。结论 应加强厦门市湖里区流动人口结核病监测与防控工作。

Objective To describe the epidemiological characteristics and the trend of tuberculosis in Xiamen, and provide reference for the prevention and control among the floating population. Methods Descriptive method and TB patients management system were used to analyze patients with TB among floating population from 2008 to 2014. Results The number of TB patients found in floating population increased first, and then declined from 2008 to 2014. Among the whole population in patients with active tuberculosis patients, the floating population proportion was the highest （76. 7% to 84. 7% ）. Most patients were 20 -29 years old, the major occupation was worker. The major source of patients was the referral patients; most patients were smear - negative; the cure rates of the initial smear - positive patients ranged from 81. 3% to 95. 7% ;The management way of chemo - therapy, the situation of systematic management and the different category of patients, all these had significant influence on the treatment outcome （ P 〈 0. 05 ） . Conclusion The surveillance, prevention and control of TB among floating population should be strengthened.