摘要
目的:分析2015-2020年赣州市结核病防治规划实施效果情况,为制定下一步防控策略提供参考.方法:按照《江西省"十三五"结核病防治规划》终期评估调查方案,开展赣州市"十三五"结核病防治规划终期评估工作,并收集2015-2020年结核病信息管理系统数据.对赣州市结核病防治关键指标变化情况及分布特征进行描述性分析,2015-2020年报告发病率的变化趋势采用年递降率描述.结果:赣州市"十三五"期间政府投入经费逐年增加,共投入1 188.7万元,达到人均0.23元;2015年、2016年肺结核报告发病率相当,分别为84.24/10万、84.37/10万,2017-2020年肺结核报告发病率逐年降低,2020年肺结核报告发病率为58.22/10万.2015-2020年报告肺结核死亡率均低于0.50/10万,其中2016年最高位0.43/10万,2020年最低位0.07/10万.赣州市各县(市、区)中,结核病疫情下降较快的有赣县区、崇义县、兴国县,年均发病率下降分别为10.88%、11.12%、12.05%;疫情上升有大余县、会昌县,年均发病率上升分别为0.43%、2.00%.2015-2020年肺结核患者病原学阳性率均高于40.00%,其中2020年最高,为61.15%,2017年最低,为43.97%.2015-2020年肺结核患者和疑似肺结核患者总体到位率均高于95.00%,其中2020年最高,为99.20%,2019年最低,为97.34%.2015-2020年肺结核患者成功治疗率均在90.00%以上,其中2019年最高,为95.79%,2017年最低,为93.62%.2015-2020年高危人群耐药筛查率均高于70.00%,其中2020年最高,为99.65%,2015年最低,为70.49%.2015-2020年新病原学阳性患者耐药筛查率,2020年最高,为98.47%,2016年最低,为26.49%.2015-2020年耐药患者接受治疗率,2018年最高,为74.56%,2015年最低,为35.71%.2015-2020年耐药患者成功治疗率,2020年最高,为80.85%,2018年最低,为37.65%.结论:赣州市"十三五"结核病防治规划基本实现目标,耐药防治和实验室建设达到全省领先水平.医防合作、耐药结核病医疗保障和潜伏感染者预防性治疗是赣州市结核病防治面临的挑战.
Abstract
Objective:To evaluate the effect of implementation of tuberculosis(TB)prevention and treatment plan in Ganzhou City from 2015 to 2020,and provide a reference basis for the development of strategies for further prevention and control.Methods:To carry out the final evaluation of"The 13th Five-Year"Plan for TB prevention and control in Ganzhou City,and to collect data from TB information management system from 2015 to 2020 based on"The 13th Five-Year"Plan for TB prevention and control in Jiangxi Province.Descriptive analysis of changes in key indicators and distributional char-acteristics of TB prevention and control in Ganzhou City,and the changing trend of the incidence rate were described using the annual rate of decline from 2015-2020.Results:During"The 13th Five-Year"Plan period,Ganzhou City's government investment increased year by year,with a total investment of 11.887 million yuan,reaching 0.23 yuan per capita;the reported incidence of tuberculosis in 2015 and 2016 was similar,84.24/100 000 and 84.37/100 000,respectively.The reported incidence of tuberculosis in 2017-2020 decreased year by year,and the reported incidence of tuberculosis in 2020 was 58.22/100 000.The reported tuberculosis mortality rate from 2015 to 2020 was all lower than 0.50 per 100 000,with the highest rate of 0.43 per 100 000 in 2016 and the lowest rate of 0.07 per 100 000 in 2020.Among the counties(cities and districts)in Ganzhou City,the tuberculosis epidemic rate decreased rapidly in Ganxian District,Chongyi County and Xingguo County,with the average annual incidence rate decreased by 10.88%,11.12%and 12.05%respectively.The epidemic rate increased in Dayu County and Huichang County,with an average annual increase rate of 0.43%and 2.00%respectively.From 2015 to 2020,the pathogenetic positive rate of tuberculosis patients was higher than 40.00%,with the highest rate in 2020(61.15%)and the lowest rate in 2017(43.97%).From 2015 to 2020,the overall arrival rate of tuberculosis patients and suspected tuberculosis patients reported was higher than 95.00%,with the highest rate in 2020(99.20%)and the lowest rate in 2019(97.34%).The successful treatment rate of tuberculosis patients from 2015 to 2020 was more than 90.00%,of which the highest rate was 95.79%in 2019 and the lowest rate was 93.62%in 2017.From 2015 to 2020,the drug resistance screening rate of high-risk drug resistance groups was higher than 70.00%,with the highest rate in 2020(99.65%)and the lowest rate in 2015(70.49%).The rate of new etiological positive patients drug resistance screening from 2015 to 2020 was the highest in 2020(98.47%)and the lowest in 2016(26.49%).The rate of drug-resistant patients receiving treatment from 2015 to 2020 was the highest in 2018(74.56%)and the lowest in 2015(35.71%).The successful treatment rate of drug-resistant patients from 2015 to 2020 was the highest in 2020,at 80.85%,and the lowest in 2018,at 37.65%.Conclusion:Targets of''The 13th Five-Year''Plan for TB control and prevention in Ganzhou City have been basically met,drug-resistant TB control and laboratory construction have reached the leading level in Jiangxi province.The cooperation between healthcare and disease prevention and control,medical protection for drug-resistant TB,and preventive treatment for latently infected patients are the challenges for TB prevention and treatment in Ganzhou City.
国家科技期刊平台
NSTL
万方数据