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目的探索浙江省学生肺结核患者发现延误情况及其影响因素,为防控学校结核病疫情提供干预建议。方法以浙江省2008—2010年在中国结核病管理信息系统登记的3 822名初治学生肺结核患者为研究对象,统计发现延误情况,采用单因素χ2检验及多因素Logistic回归分析延误影响因素。结果浙江省初治学生肺结核患者发现时间的中位数为15 d,发现延误患者占31.4%。发现延误主要危险因素为低年龄段、居住在农村、一季度发病、患病类型为原发性与粟粒性肺结核、涂片阳性、需追踪、确诊机构为市级定点机构的患者。结论学生肺结核患者发现延误情况不容乐观。学校与结防机构应针对发现延误危险因素加强干预,减少延误的发生。
Objective To explore the detection delay and the influencing factors of pulmonary tuberculosis among students in Zhejiang Province, and to provide interventions for prevention and control of tuberculosis in schools. Methods A total of 3 822 newly diagnosed pulmonary tuberculosis patients enrolled in the China Tuberculosis Management Information System from 2008 to 2010 in Zhejiang Province were enrolled in this study. Delay was found in the statistics. Univariate Chi-square test and multivariate logistic regression analysis were used to analyze the influencing factors. Results The median time of newly diagnosed pulmonary tuberculosis patients in Zhejiang Province was 15 days, and 31.4% of patients were found to be delayed. Found that the main risk factors for the delay of low-age group, living in rural areas, the first quarter of onset, the prevalence of primary and miliary tuberculosis, smear-positive, to be tracked, the diagnosis of institutions designated municipal agencies for patients. Conclusions The findings of student tuberculosis delay are not optimistic. Schools and prevention and treatment agencies should step up their interventions to identify risk factors for delays and reduce delays.