首页|海安市人民医院活动性肺结核患者利福平耐药现状及流行病学特征

海安市人民医院活动性肺结核患者利福平耐药现状及流行病学特征

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目的 调查海安市人民医院活动性肺结核住院患者利福平耐药现状及流行情况,为活动性肺结核的防治提供理论依据.方法 收集2021-2022年海安市人民医院收治入院的活动性肺结核患者病历资料,对患者进行胸部影像学和病原学检查及结核感染T细胞检测,通过比例法药物敏感性试验检测利福平敏感患者.结果 共收集到活动性肺结核患者235例,男性占80.85%;26~59岁患者占62.13%;农民患者占59.57%,已婚患者占69.79%.病原学阳性199例,占84.68%,2021年出现利福平耐药患者1例(0.89%),2022年2例(1.63%),总利福平耐药率为1.28%,病原学阳性肺结核患者利福平耐药率则为1.51%.新发病原学阳性患者利福平耐药率(0.00%)低于复治病原学阳性患者(2.52%),但差异无统计学意义(x2=2.047 7,P=0.1524).结论 本地区复治病原学阳性肺结核患者及26~59岁病原学阳性肺结核患者的利福平耐药率更高,应将防治重点放在青壮年人群.
Current situation and epidemiological characteristics of rifampicin resistance of active pulmonary tuberculosis patients in Hai'an People's Hospital
Objective To provide a theoretical basis for the prevention and treatment of active pulmonary tuberculosis patients according to the current situation and prevalence of rifampicin resistance of active pulmonary tuberculosis patients in Hai'an People's Hospital.Methods The medical records of active pulmonary tuberculosis patients admitted to Hai'an People's Hospital from 2021 to 2022 were collected,chest imaging and etiological examination,as well as T cell testing for tuberculosis infection were performed.The proportional drug sensitivity test was used to test rifampicin sensitivity.Results A total of 235 active pulmonary tuberculosis patients were collected during the survey,with males accounted for 80.85%,the patients aged 26-59 accounted for 62.13%,farmers accounted for 59.57%,patients married accounted for 69.79%.199 cases were positive for sputum smear,accounted for 84.68%.In 2021,there was 1 case(0.89%)with rifampicin resistance,and in 2022,there were 2 cases(1.63%).The total resistance rate to rifampicin was 1.28%,the rifampicin resistance rate of tuberculosis patients with positive etiology was 1.51%.The drug resistance rate to rifampicin in newly pathogenic positive patients(0.00%)was lower than that in retreated pathogenic positive patients(2.52%),but the difference was not significant(x2=2.047 7,P=0.152 4).Conclusion The drug resistance rate to rifampicin in retreated pathogenic positive pulmonary tuberculosis patients and pathogenic positive pulmonary tuberculosis patients aged 26-59 years in Hai'an was higher,so the prevention and control should focus on young adult population.

Pulmonary tuberculosisRifampicinDrug resistanceEpidemiologyPrevention and control

郑良凤、成守亮、张晨、许贇兴、吉飞跃

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海安市人民医院中心实验室,江苏海安 226600

肺结核 利福平 耐药 流行病学 防治

南通市基础研究和民生科技计划指导性项目

JCZ21110

2024

中国国境卫生检疫杂志
中国质检报刊社

中国国境卫生检疫杂志

CSTPCD
影响因子:0.415
ISSN:1004-9770
年,卷(期):2024.47(3)
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