《天水市结核病防治十三五规划》防治措施评估结果分析

Analysis on evaluation results of prevention and treatment measures in the 13th Five-Year Plan for Tuberculosis Prevention and Control in Tianshui

目的评估《天水市结核病防治十三五规划》防治措施执行情况。方法常规监测主要通过中国疾病预防控制信息系统—传染病信息管理系统和结核病管理信息系统查阅,结核病防治核心信息大众知晓率和学校结核病防治工作通过随机抽样进行调查。结果2016—2020年天水市共登记肺结核病例6038例,报告发病率从2016年的52.27/10万下降到2020年的22.15/10万,病原学阳性率从2016年的11.30%上升到2020年的49.03%,差异有统计学意义(χ^(2)_(趋势)=623.193,P<0.01);2016—2020年共筛查病原学阳性病例1105例,发现耐药病例125例,纳入治疗79例,5年新病原学阳性病例耐药筛查率和耐药病例纳入治疗率差异均有统计学意义(χ^(2)_(趋势)=207.612、70.955,P<0.01);开展学生新生筛查63637人,确诊肺结核21例。结核病防治核心信息总知晓率85.13%。结论十三五期间天水市肺结核报告发病率下降,病原学阳性率、病原学阳性病例耐药筛查率和耐药病例纳入治疗率均明显上升。

Objective To evaluate the implementations of prevention and treatment measures in the 13th Five-Year Plan for Tuberculosis Prevention and Control in Tianshui.Methods Routine monitoring was checked mainly through two China information systems for disease control and prevention including the Infectious Diseases Information Management System and Tuberculosis Management Information Systems,and the public awareness rate and tuberculosis prevention and control work of the school were investigated by random sampling.Results A total of 6038 cases of tuberculosis patients were registered from 2016 to 2020 in Tianshui.The reported incidence rate dropped from 52.27/100000 in 2016 to 22.15/100000 in 2020,and the pathogenic positive rate increased from 11.30%in 2016 to 49.03%in 2020,and the difference was statistically significant(χ^(2)_(trend)=623.193,P<0.01).A total of 1105 cases with positive pathogens were screened out from 2016 to 2020,125 cases with drug resistance were found,79 cases were included in the treatment;during the five years,the differences in the screening rate of drug resistance and treatment rate of drug resistance in new pathogens positive cases included were statistically significant(χ^(2)_(trend)=207.612,70.955,P<0.01).A total of 63637 new students were subject to screening,21 cases of tuberculosis were confirmed,the overall awareness rate for core information of tuberculosis prevention and cure was 85.13%.Conclusion The reported incidence of tuberculosis in Tianshui decreases during the 13 th Five-Year Plan period,the pathogen positive rate,drug resistant screening rate of pathogen positive cases,and treatment rate of drug resistant case included significantly increase.