新型冠状病毒肺炎疫情对新疆维吾尔自治区喀什地区结核病防治工作的影响分析

The impact of COVID-19 epidemic on tuberculosis control in Kashgar of Xinjiang Uygur Autonomous Region

目的了解新型冠状病毒肺炎(简称"新冠肺炎")疫情对喀什地区结核病防控工作的影响,为制定相应的防控策略提供科学依据。方法对《中国疾病预防控制信息系统》子系统《中国结核病管理信息系统》中喀什地区2019年和2020年肺结核登记、2个月末及疗程末查痰情况进行分析,了解新冠肺炎疫情对结核病防控工作的影响。结果喀什地区2020年肺结核患者登记数为11159例,比2019年18663例患者登记数减少7504例,日均登记数由2019年的51例降低到2020年的31例,下降幅度为39.22%。2020年应在疗程2个月末查痰肺结核患者为28419例,其中在7d内进行查痰的患者为17715例,查痰率为62.34%,明显低于2019年的67.45%(7894/11703),差异有统计学意义(χ^(2)=94.04,P<0.05)。2020年完成疗程并需要进行查痰的肺结核患者为12816例,在7d内完成查痰的患者为5205例,查痰率为40.61%,明显低于2019年的42.24%(17370/41124),差异有统计学意义(χ^(2)=10.60,P<0.05)。结论新冠肺炎疫情对喀什地区结核病防控工作短期内造成了一定的影响,导致肺结核患者发现数量降低和及时随访查痰率下降。

Objective Explore the impact of COVID-19 epidemic on tuberculosis(TB)control and prevention in Kashgar,and provide scientific basis for formulating corresponding prevention and control strategies.Methods TB registration and sputum examination at the end of 2 nd month and at the end of treatment were compared between 2020 and 2019 based on the routine surveillance from TB Information Management System which is the subsystem of the"China Disease Prevention and Control Information System",to explore the potential impact of COVID-19 epidemic on TB control and prevention.Results The number of registered TB patients in Kashgar in2020 was 11159,a decrease of 7504 from the number of registered 18663 patients in 2019.The average daily number of registrations decreased from 51 in 2019 to 31 in 2020,a decrease of 39.22%.In 2020,the number of TB patients who required sputum examination at the end of second month of treatment was 28419,and 17715 patients can perform sputum examination within 7 days,the sputum examination rate is 62.34%,which was significantly lower than the 67.45%in 2019(7894/11703)(χ^(2)=94.04,P<0.05).In 2020,the number of TB patients who required sputum examination at the end of treatment was 12816,and 5205 patients can perform sputum examination within 7 days,the sputum examination rate was 40.61%,which was significantly lower than the 42.24%(17370/41124)(χ^(2)=10.60,P<0.05)in 2019.Conclusion The COVID-19 epidemic has a certain impact on the TB control and prevention in Kashgar in the short term,this lead to a decrease in the number of TB patient discovery and in the rate of timely follow-up for sputum examination.