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李俊, 张云, 刘锦宏, 赵建, 杨尚鹏, 李莹莹. 新冠肺炎疫情对湖北省荆州市结核病控制影响分析[J]. 中国公共卫生, 2022, 38(10): 1340-1344. DOI: 10.11847/zgggws1137669
引用本文: 李俊, 张云, 刘锦宏, 赵建, 杨尚鹏, 李莹莹. 新冠肺炎疫情对湖北省荆州市结核病控制影响分析[J]. 中国公共卫生, 2022, 38(10): 1340-1344. DOI: 10.11847/zgggws1137669
LI Jun, ZHANG Yun, LIU Jin-hong, . Impact of COVID-19 epidemic on tuberculosis control in Jingzhou city[J]. Chinese Journal of Public Health, 2022, 38(10): 1340-1344. DOI: 10.11847/zgggws1137669
Citation: LI Jun, ZHANG Yun, LIU Jin-hong, . Impact of COVID-19 epidemic on tuberculosis control in Jingzhou city[J]. Chinese Journal of Public Health, 2022, 38(10): 1340-1344. DOI: 10.11847/zgggws1137669

新冠肺炎疫情对湖北省荆州市结核病控制影响分析

Impact of COVID-19 epidemic on tuberculosis control in Jingzhou city

  • 摘要:
      目的   了解新型冠状病毒肺炎疫情(以下简称新冠肺炎疫情)对湖北省荆州市结核病防控工作的影响。
      方法  通过中国疾病预防控制中心结核病信息管理系统,收集2017 — 2021年湖北省荆州市登记诊断为肺结核患者资料。采用SPSS 23.0 软件进行数据的整理和分析。描述近5年肺结核报告发病趋势。通过新冠肺炎疫情强化干预期(2020年1月25日 — 3月27日)、常态化防控期(2020年3月28日 — 5月29日)、对照期(2019年11月29日 — 2020年1月24日)结核报告发病率及病原学阳性率的变化,描述疫情强化干预期、常态化防控期对荆州市结核病防治的影响。
      结果  荆州市2017 — 2020年肺结核发病数及发病率呈现逐年下降趋势。2020年疫情强化干预期登记的结核病患者数占比(7.24 %)低于对照期(42.94 %)和常态化防控期(49.72 %),强化干预期发病数下降明显,病原学阳性率波动明显。
      结论   荆州市结核病防治工作向较好的方面发展。新冠肺炎疫情影响了肺结核发现水平下降,病原学阳性率下降。新冠肺炎疫情影响了结核诊治的需求,减少了肺结核患者的发现,在未来可能会出现结核病诊疗服务的需求增多,但严格的疫情防控可减少结核患者发病例数。

     

    Abstract:
      Objective  To examine the impact of coronavrius disease 2019 (COVID-19) epidemic on tuberculosis (TB) case notification in Jingzhou city, Hubei province.
      Methods  The information on all TB incidents registered in Jingzhou during 2017 – 2021 were collected from TB Information Management System of Chinese Center for Disease Control and Prevention. SPSS 23.0 software was used in data collation and analysis. The reported TB incidents and incidence rate and bacteria positive rate before COVID-19 epidemic (November 29, 2019 – January 24, 2020), during intensive control period (January 25 – March 27, 2020) and regular control period (March 28 – May 29, 2020) of the epidemic were described to analyze the influence of the epidemic on TB control and prevention in the region.
      Results  Reported TB incidence rate decreased during the 5-year period in the city. The proportion of TB incidents registered in the intensive control period (7.24%) was lower than that in the period before the epidemic (42.94%) and that in the regular control period (49.72%), the reported TB incidence rate decreased significantly and the bacteria positive rate fluctuated significantly.
      Conclusion  From 2017 through 2021, reported TB incidence rate decreased in Jingzhou city but the occurrence of COVID-19 epidemic induced a decline in reported TB incidence rate and in detection rate of bacteria positivity.

     

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