Abstract:

Objective　To understand the latest epidemiological status of tuberculosis in floating population at Yuexiu District and to provide scientific basis for continuous improvement and optimization of measures of tuberculosis prevention and control for floating population. Methods　Basing on the data of Tuberculosis Management Information System, a subsystem of China Disease Prevention and Control Information System, the online data of the patients with pulmonary tuberculosis at Yuexiu District floating between districts, cities, and provinces from 2018 to 2022 were collected and collated. The epidemiological status in the 3 floating populations with different gender, age, case finding model, treatment delay, pathogenic test results, and treatment classification were descriptively analyzed. Results　In the five years, 1 267 cases of pulmonary tuberculosis at Yuexiu District were reported, including 829 males (65.43%) and 438 females (34.57%). Among them, 80.58% (1 021/1 267) patients went directly to the tuberculosis prevention and treatment institution for medical treatment. In the patients, 713 cases (56.27%) were pathogenic positive, and 554 cases (43.73%) pathogenic positive. There were 1 188 first treated cases (93.76%) and 79 re-treated cases (6.24%). The median of the reported incidence rates of pulmonary tuberculosis in the floating population was 71.1/100 000 in 2020. The rates of delay in seeing a doctor and diagnosis delay were 75.30% (854/1 267) and 77.19% (978/1 267), respectively. The percentages of the patients <18 years old, 18-45 years old, ≥45-59 years old, and ≥60 years old were 3.28% (2/61), 50.82% (31/61), 22.95% (14/61), and 22.95% (14/61), respectively. Conclusions　The incidence of tuberculosis and rates of delay in seeing a doctor and diagnosis delay in the floating population at Yuexiu are all at a high level. Therefore, it is urgent to strengthen tuberculosis control in floating population.

Key words:

Pulmonary tuberculosis, Floating population, Epidemiology, Guangzhou

摘要：

目的　了解本地区流动人口肺结核流行的最新流行病学状况，为流动人口结核病防控措施的持续改进与优化完善提供科学依据。方法　以“中国疾病预防控制信息系统”子系统“结核病管理信息系统”为信息平台，收集、整理广州市越秀区2018—2022年区间流动、市间流动和省间流动肺结核患者的网报资料，描述性分析3种流动人口类型中不同性别、年龄、病例发现方式、治疗延误、病原学检测结果、治疗分类等各类人群中肺结核的流行情况。结果　5年间，广州市越秀区共报告肺结核病例1 267例，男829例（65.43%），女438例（34.57%），80.58%（1 021/1 267）的患者来自直接就诊。其中，病原学阳性患者713例（56.27%）、阴性患者554例（43.73%），初治患者1 188例（93.76%）、复治患者79例（6.24%）。流动人口肺结核报告发病率中位数为2020年的71.1/10万，2018—2022年就诊延误和诊断延误发生率分别为75.30%（854/1 267）和77.19%（978/1 267），<18岁、18～45岁、≥45～60岁、≥60岁年龄组省间流动肺结核分别为3.28%（2/61）、50.82%（31/61）、22.95%（14/61）和22.95%（14/61）。结论　本地区流动人口结核报告发病率、就诊延误和诊断延误发生率均处于较高水平，加强流动人口结核病控制工作刻不容缓。

关键词:

肺结核, 流动人口, 流行病学, 广州