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目的了解浙江省儿童肺结核疫情现状,为加强儿童肺结核病的防控措施提供依据。方法检索2008-2014年中国疾病预防控制系统中的传染病报告信息管理系统和结核病信息管理系统,获取0~14岁儿童肺结核病的报告发病、登记及治疗管理数据,并进行描述性统计分析。结果 2008-2014年浙江省共报告0~14岁儿童活动性肺结核1338例(菌阳儿童肺结核345例),其中登记、治疗的有981例,占报告数量的73.3%。0~14岁儿童肺结核年均报告发病率为2.3/10万,其中菌阳病例年均报告发病率为0.6/10万。0~14岁儿童肺结核报告发病率波动中有所下降,菌阳肺结核的报告发病率波动中有所上升。结论儿童肺结核防控工作仍需要继续加大投入,有效的开展健康促进工作,提高发现治疗和管理水平,进一步降低儿童肺结核病的疫情。
Objective To understand the status quo of children’s pulmonary tuberculosis in Zhejiang Province and provide evidence for the prevention and control of tuberculosis in children. Methods The infectious disease reporting information management system and tuberculosis information management system in China’s disease control and prevention system were retrieved from 2008 to 2014. The data of incidence, registration and treatment of tuberculosis in children aged 0-14 years were retrieved and analyzed by descriptive statistical analysis. Results In 2008-2014, Zhejiang Province reported a total of 1338 cases of children with tuberculosis (children with tuberculosis of Bac yang) 345 children aged 0-14 years, of whom 981 were registered and treated, accounting for 73.3% of the reported cases. The annual incidence of tuberculosis in children aged 0-14 years was 2.3 / 100,000, of which the annual incidence of bacillary positive cases was 0.6 / 100,000. The incidence of tuberculosis in children aged 0-14 years has been declining somewhat, and the reported incidence of bacterial pulmonary tuberculosis has risen somewhat. Conclusion Child tuberculosis prevention and control work still needs to continue to increase investment, effective health promotion, improve the detection of treatment and management, to further reduce the outbreak of tuberculosis in children.