Detection of pulmonary tuberculosis in first-year student enrollment phys-ical examinations at a university from 2017 to 2022
Objective This study was aimed at analyzing the detection of pulmonary tuberculosis among first-year students at a University from 2017 to 2022,to provide a reference for the prevention and control of pulmonary tuberculosis at the university.Methods The participants were 40 002 first-year students who received physical examinations between 2017 and 2022.Screening for symptoms suspicious of pulmonary tuberculosis and chest X-ray examinations were conducted.The detection rate and the trends in detection rate changes across study years were analyzed.Results From 2017 to 2022,19 cases of pulmonary tuberculosis were detected in first-year student enrollment physical examinations;the average annual detection rate was 47.50/100 000,exceeding the average annual incidence rate of pulmonary tuberculosis among students at the school(16.51/100 000).The detected tuberculosis cases were primarily asymptomatic pulmonary tuberculosis(cases ac-counting for 84.21%).The tuberculosis detection rate during the physical examinations decreased from 2017 to 2022.Close contacts of students with pulmonary tuberculosis detected during an entrance examination were screened,and no further cas-es were identified.Conclusions The tuberculosis detection rate during the first-year student enrollment physical examina-tions was high and comprised primarily early asymptomatic cases.The tuberculosis detection rate decreased over the study period.Universities should prioritize physical examinations of new students to aid in the prevention and control of pul-monary tuberculosis,and current prevention and control measures should be further strengthened.