A Study on Tuberculosis Characteristics and Risk Factors of Case-finding Methods for Tuberculosis in Mianyang City_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

HuangWeiwei ¹ , ChenHua ² , ChenJian ³ , DuXinmiao ¹ , OuXuemei ¹ ,  LiangZongan ¹ ,  HeJianqing ¹

1. Department of Respiratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China;
2. ;
3. ;

Corresponding?author：

LiangZongan, Email: liang.zongan@163.com; HeJianqing, Email: jianqhe@gmail.com

Keywords：

Tuberculosis; Finding methods; Risk factors

DOI：

10.7507/1671-6205.2015047

Video：

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Objective To understand basic characteristics and clinical features of tuberculosis in Mianyang, Sichuan, and to investigate the risk factors of two case-finding methods for tuberculosis:"passive finding" and "active screening". Methods One-hundred and seventy-five active tuberculosis patients screened by physical examination in 21 villages of Fucheng and Jiangyou from June 2013 to March 2014 were included. Information about basic characteristics and clinical features of tuberculosis was collected using questionnaire, chest X-ray and laboratory examinations. We also applied binary logistic regression to explore the risk factors of finding for tuberculosis. Results In all 175 tuberculosis patients, 41.71% were over 60 years old and 73.71% were farmers. Productive cough over two weeks was the most common symptom, accountting for 58.29%. 19.63% were sputum smear-positive while 70.87% were PPD-positive. Binary logistic regression analysis demonstrated that tuberculosis history significantly influenced the findings for tuberculosis (OR=15.809,95%CI: 6.708~37.258). Conclusions Active tuberculosis patients screened by physical examination in Mianyang, Sichuan were mainly elderly male over 60 years old and farmers, with single pulmonary symptom as the primary clinical feature. The patients with tuberculosis history may be found by "passive finding".

Citation： HuangWeiwei, ChenHua, ChenJian, DuXinmiao, OuXuemei, LiangZongan, HeJianqing. A Study on Tuberculosis Characteristics and Risk Factors of Case-finding Methods for Tuberculosis in Mianyang City. Chinese Journal of Respiratory and Critical Care Medicine, 2015, 14(2): 186-189. doi: 10.7507/1671-6205.2015047 Copy

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1. ?貢秀云.健康檢查發現肺結核患者121例分析.職業與健康,2008,24:2751-2752.
2. World Health Organization. Global tuberculosis report 2014[EB/OL]. http://apps.who.int/iris/bitstream/10665/137094/1/9789241564809_eng.pdf?ua=1,2015-1-21.
3. 王黎霞,成詩明,陳明亭,等. 2010年全國第五次肺結核流行病學抽樣調查報告. 中國防癆雜志, 2012,34:485-508.
4. 中華人民共和國衛生部.WS288-2008肺結核診斷標準.北京:人民衛生出版社,2008.
5. Wang L, Liu J, Chin DP. Progress in tuberculosis control and the evolving public-health system in China. Lancet, 2007, 369:691-696.
6. 吳婭,徐成,楊萬忠,等.2008-2012年黔東南州肺結核病人群分布情況的分析.當代醫藥論叢,2014,12:22-23.
7. Sherman LF,Fujiwara PI,Cook SV,et al.Patient and health care system delays in the diagnosis and treatment of tuberculosis.Int J Tuberc Lung Dis, 1999,3:1088-1095.
8. Holms P,Faulks I.Presentation of pulmonary tuberculosis.Aust N Z J Med, 1981,11:651-653.
9. 李定越,楊蕊嘉,王丹霞,等.肺結核患者痰涂片及痰培養檢測結果分析.寄生蟲病與感染性疾病,2014,12:122-124.
10. 楊華林,端木宏謹,王黎霞.對不同人群采用不同方法肺結核病人檢出率的研究.實用預防醫學,2005,12:75-77.
11. 戰云飛,劉風霞,楊效光,等.結核診斷指標在診斷肺結核中的臨床意義.中華醫院感染學雜志,2013,23:5369-5371.
12. Nogueira PA,Abrahao RM,Galesi VM.Tuberculosis and latent tuberculosis in prison inmates.Rev Saude Publica,2012,46:119-127.
13. Wang JM,Fei Y,Shen Hb,et al. Gender difference in knowledge of tuberculosis and associated health-care seeking behaviors:a cross-sectional study in a rural area of China. BMC Public Health,2008,8:354.

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