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. 贡秀云.健康检查发现肺结核患者121例分析.职业与健康,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,成诗明,陈明亭,等. 2010年全国第五次肺结核流行病学抽样调查报告. 中国防痨杂志, 2012,34:485-508.
4. 中华人民共和国卫生部.WS288-2008肺结核诊断标准.北京:人民卫生出版社,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. 吴娅,徐成,杨万忠,等.2008-2012年黔东南州肺结核病人群分布情况的分析.当代医药论丛,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,杨蕊嘉,王丹霞,等.肺结核患者痰涂片及痰培养检测结果分析.寄生虫病与感染性疾病,2014,12:122-124.
10. 杨华林,端木宏谨,王黎霞.对不同人群采用不同方法肺结核病人检出率的研究.实用预防医学,2005,12:75-77.
11. 战云飞,刘风霞,杨效光,等.结核诊断指标在诊断肺结核中的临床意义.中华医院感染学杂志,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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