江苏省无锡市慢性传染性肺结核流行病学调查  

Epidemiological Investigation of Chronic Infectious Pulmonary Tuberculosis in Wuxi

作　　者：钱则青[1] 陈晓燕[1] 任一君[1] 徐夏珍[1] 

机构地区：[1]江苏省无锡市疾病预防控制中心,214023

出　　处：《职业与健康》2008年第2期139-142,共4页Occupation and Health

摘　　要：目的掌握无锡市慢性传染性肺结核(以下简称慢传)的现状,分析和探讨其形成的原因,为控制和减少慢传提供科学的依据。方法采用江苏省慢传个案调查表对调查对象进行现状和回顾性的流行病学调查,并拍摄胸片,进行痰结核菌镜检、培养和药敏试验,最后整理资料,进行统计分析。结果无锡市慢传患者的特征是年龄大、分布广、病程长、病情重、症状多、长期排菌、耐药率高、治管困难。造成的直接原因主要是不规则用药和过早停药,其次是耐药、方案不当、有并发症等。结论在抓好初治,阻断慢传来源的基础上,同时治管好复治和现有慢传患者,减少耐药菌的传播,是目前控制和减少慢传,最终解决这一老大难问题的有效途径。[ Objective] To learn the current situation of chronic infectious pulmonary tuberculosis in Wuxi, analyze the reasons for the disease and provide scientific basis for the infection control. [ Methods] Retrospective epidemiological investigation was made on the individual cases in Jiangsu; analysis was made on the chest X-ray, sputum tuberculosis bacteria and drug resistance examination results. [ Results] The characteristics of chronic infectious pulmonary tuberculosis in Wuxi were oldness in age, wide distribution, long period of disease, serious illness, various symptoms, continuous excreting of bacteria, high drug-resistance rate and difficulty for treatment. The direct reasons for the disease were irregular and incomplete treatment, drug-resistance, improper treatment and complications. [ Conclusion] On the basis of curing the primary patients and cutting off the source of the chronic infector of the pulmonary tuberculosis, reducing the distribution of drug resistance bacteria by managing the re-treatment and the patients is the most effective way to reduce, control, and even conquer the chronic infectious pulmonary tuberculosis.

关 键 词：肺结核/慢性传染源 流行病学调查分析 

分 类 号：R181.8[医药卫生—流行病学]