金华市婺城区2008-2017年儿童青少年肺结核流行病学分析

Epidemiological characteristics of tuberculosis among children and adolescents in Wucheng district of Jinhua,2008-2017

目的分析金华市婺城区2008-2017年儿童青少年肺结核流行特征,为儿童青少年传染病预防控制工作决策提供科学依据。方法应用描述流行病学方法,对国家传染病报告信息管理系统的婺城区2008-2017年0～24岁儿童青少年肺结核疫情资料进行流行病学统计分析。结果婺城区2008-2017年儿童青少年肺结核年均发病率为43.27/10万,无死亡病例。男性年均发病率为54.72/10万,女性年均发病率为30.43/10万,差异有统计学意义(χ~2=72.00,P<0.01);各年龄段组均有病例分布,年均发病率由高至低依次为20～24岁组112.51/10万、15～19岁组54.12/10万、10～14岁组5.41/10万、0～4岁组0.85/10万、5～9岁组0.80/10万(P<0.05)。十年中有七年肺结核发病数居当年儿童青少年乙类法定传染病发病数首位。结论婺城区儿童青少年肺结核预防控制工作任重道远,儿童青少年肺结核预防控制工作需要新思维和探索更好、更有效的方法。

Objective To analyze the epidemiological characteristics of tuberculosis in children and adolescents in Wucheng district of Jinhua during 2008 and 2017,provide scientific basis for the prevention and control of infectious diseases in children and adolescents.Methods Descriptive epidemiological method was used to analyze the epidemic data originated from the national infectious disease report information management system of tuberculosis in children and adolescents aged from 0 to 24 years old in Wucheng district from 2008 to 2017.Results The average annual incidence of tuberculosis among children and adolescents in Wucheng district was 43.27/100 000 during 2008 and 2017,and there was no death case.The average annual incidence of male was 54.72/100000 and the average annual incidence of female was 30.43/100 000.The difference was statistically significant(χ~2 =72.00,P<0.01).All age groups had case distribution.The average annual incidence rates from high to low were 20~24 years group with the rate of 112.51/100 000,15~19 years group with the rate of 54.12/100 000,10~14 years group with the rate of 5.41/100 000,0~4 years group with the rate of 0.85/100 000,5~9 years group with the rate of 0.80/100 000(P<0.05).In seven years of the last decade,tuberculosis incidence of child and adolescent b class infectious disease was in the first.Conclusion The prevention and control of tuberculosis in children and adolescents in Wucheng district has still a long way.New way of thinking and more effective methods are needed for prevention and control of tuberculosis in children and adolescents.