某战区新发结核病例调查分析

Investigation and Analysis of New Cases of Tuberculosis in A Military Region

目的对某战区新发结核病例进行调查,为有效开展结核病防控提供依据。方法收集某战区2013年1月-2014年6月上报的新发结核病例161例的病例信息,通过描述性流行病学分析方法分析病例的基本信息、发病时间及临床表现、就诊情况、接触史和疫苗接种史等。结果 161例中以男性居多占97.5%;年龄18~42岁;以士官和义务兵为主。结核类型主要是继发性肺结核,其次依次为原发性肺结核、结核性胸膜炎、肺外结核和血行播散性肺结核。在首次确诊前诊断为肺结核55例(34.2%)。行痰涂片和培养的病例以阴性为主。结论新发结核病例以义务兵和士官为主,应重点针对该人群做好部队结核病防治知识教育,并且要加强对结核病防控的重视程度,做到早发现。

Objective To investigate the new cases of tuberculosis in one military region and provide evidence for effective prevention and control of tuberculosis. Methods A total of 161 new cases of tuberculosis in a military region between January2013 and June 2014 were selected. The basic information,time of onset,clinical manifestations,treatment status,contact history,vaccination history and other information were analyzed by descriptive epidemiological analysis. Results Among the 161 cases,there were 157 males aged from 18 to 22,accounting for 97. 5%. Most cases were sergeants or ordinary servicemen. These cases of tuberculosis were diagnosed as secondary pulmonary tuberculosis,primary pulmonary tuberculosis,tuberculosis pleurisy,extrapulmanory tuberculosis and hematogenous pulmonary tuberculosis. Before the first confirmed diagnosis,55 patients were diagnosed with tuberculosis( 34.2%). Sputum smear results of most patients were negative. Conclusion New cases of tuberculosis are mostly sergeants or ordinary servicemen,so we should focus on knowledge education about prophylaxis and treatment among the key population and enhance their awareness of health. In addition,the rate of misdiagnosis should be reduced and early diagnosis of tuberculosis is recommended.