2014—2016年上海地区出入境人员肺结核检出情况分析  

Analysis of pulmonary tuberculosis in entry and exit population in Shanghai,2014-2016

作　　者：邱瑾[1] 水晶 陈磊[1] 王宇鹏[1] 张宏[1] 李深伟[1] 孟成艳[1] 王健[1] QIU Jin, SHUI Jing, CHEN Lei, WANG Yu-peng, ZHANG Hong, LI Shen-wei, MENG Cheng-yan, WANG Jian(Shanghai International Travel Healthcare Center, Shanghai 200335, Chin)

机构地区：[1]上海国际旅行卫生保健中心,上海200335

出　　处：《中国国境卫生检疫杂志》2018年第2期117-120,共4页Chinese Journal of Frontier Health and Quarantine

基　　金：上海出入境检验检疫局科技计划项目(HB007-2017)

摘　　要：目的系统回顾分析2014—2016年在上海国际旅行卫生保健中心接受健康评估的出入境人员的肺结核监测情况,以期为口岸结核病防控提供依据。方法选取2014年1月—2016年12月在上海国际旅行卫生保健中心接受健康评估的出入境人员,包括申请在中国工作、居留、学习1年以上的外籍人员,及申请出境居住或工作1年以上的中国籍人员。对所有胸片显示有异常的人员行连续3d空腹晨痰检测,用浓缩集菌法处理痰液,经痰涂片抗酸染色和结核分枝杆菌复合群培养,培养结果为结核分枝杆菌复合群视为阳性;对阳性的菌群进行药敏测定。结果 2014年的肺结核检出率为0.0387%(31/80176),其中,入境人员的检出率为0.0476%(19/39952),出境人员的检出率为0.0298%(12/40224);2015年的检出率为0.0209%(16/76654),其中,入境人员的检出率为0.0307%(12/39089),出境人员的检出率为0.0106%(4/37565);2016年的检出率为0.0285%(21/73734),其中,入境人员的检出率为0.0376%(14/37271),出境人员的检出率为0.0192%(7/36463)。来自发展中国家、出境人员、年龄较低的人员,培养结果阳性较多(P<0.05)。共发现耐药肺结核20例,其中耐药(非耐多药)肺结核15例,耐多药肺结核5例。不同性别、年龄、人员类型的耐药情况组间比较差异无统计学意义(P>0.05)。结论上海口岸出入境人员肺结核检出人员具有一定特征,结核病防控工作力度仍需加强。Objective A systematic review was conducted to analyze the surveillance results of pulmonary tuberculo-sis among entry and exit populations at Shanghai International Travel Healthcare Center from 2014 to 2016,to provide evidence for the prevention and control of pulmonary tuberculosis in the region. Methods The population who had received health assessment at Shanghai International Travel Healthcare Center from January 2014 to December2016 were selected,including expatriates who applied for residence or work in China for more than one year and those Chinese nationals who applied for residence or work abroad for more than one year. For those with chest Xray showed abnormal performance,three consecutive days of fasting sputum tests were conducted. The sputum sample was dealt with concentrated bacteria collection method. After acid-fast staining and Mycobacterium tuberculosis complex culture,the culture of Mycobacterium tuberculosis complex was seen as positive detection,and the bacteria susceptibility test was performed. Results The detection rate in 2014 was 0.0387%（31/80176）,of which,the detection rate of entry personnel was 0.0476%（19/39952） and the exit ones was 0.298%（12/40224）. In 2015,the detection rate was 0.0209%（16/76654）,of which,the detection rate of entry personnel was 0.0307%（12/39089） and the exit ones was 0.0106%（4/37565）. The detection rate in 2016 was 0.0285%（21/73734）. Among them,the detection rate of entry personnel was 0.0376%（14/37271） and the exit ones was 0.0192%（7/36463）. Those whom came from developing countries,abroad workers and the younger population were more prone to be detected positive（P 0.05）.A total of 20 cases of drug resistance occurred,of which 15 cases were resistant and 5 cases were resistant to MDR-TB. There was no significant difference between the groups of different gender,age and type of drug resistance（P〉 0.05）. Conclusion Pulmonary tuberculosis cases among Shanghai exit-entry population had certain characteristics,efforts t

关 键 词：出入境 肺结核 耐药 防控 

分 类 号：R195[医药卫生—卫生统计学]