论文部分内容阅读
目的了解流动人口肺结核耐药情况。方法对2008—2012年在宁波市鄞州区结核病定点医院就诊的534例流动人口涂阳肺结核进行问卷调查、结核菌培养及药敏试验。结果鄞州区流动人口肺结核总耐药率为23.11%,初始耐药率18.65%,复治耐药率49.32%;耐多药率为7.37%,初始耐多药率2.80%,复治耐多药率34.25%。人型结核分枝杆菌耐药率及耐多药率分别为24.77%和8.33%,均高于牛型结核分枝杆菌的10.34%和0.00%(P<0.05);初治组耐药率和耐多药率均低于复治组(P<0.05)。2008—2012年流动人口肺结核耐药率和耐多药率均未见明显趋势变化(P>0.05)。结论鄞州区流动人口肺结核的初始耐药率、耐多药均低于我国第五次结核病流调结果,控制较好;而复治肺结核耐药率高于我国第五次结核病流调结果。
Objective To understand the prevalence of pulmonary tuberculosis among floating population. Methods A total of 534 migrant population with smear positive pulmonary tuberculosis (TB) were enrolled in this study. Results The total resistance rate of TB population was 23.11%, the initial resistance rate was 18.65%, the re-treatment rate was 49.32%; the MDR rate was 7.37%, the initial MDR rate was 2.80% Rate of 34.25%. The rates of resistance and MDR of human type Mycobacterium tuberculosis were 24.77% and 8.33%, respectively, which were all higher than those of M. bovis 10.34% and 0.00% (P <0.05) Multidrug resistance rate was lower than that of retreatment group (P <0.05). There was no significant change in the rates of TB resistance and MDR among the floating population between 2008 and 2012 (P> 0.05). Conclusions The initial drug resistance and multidrug resistance of pulmonary TB in floating population in Yinzhou District are lower than that of the fifth TB in China, and the control rate is better than that of the fifth TB in China.