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目的监测耐药肺结核的流行情况和趋势,评价本市结核病控制效果。方法按WHO/IUAT《结核病耐药指南》的要求对新登记的涂片阳性肺结核病人进行耐药肺结核监测,所选例数不低于全年登记的涂片阳性肺结核病人的40%。结果监测涂片阳性病例2250例,涂片培养均阳性者2168例;平均耐药率为34.9%,链霉素耐药最高,达24.1%;耐多药率为5.5%,耐药病人主要集中在青壮年。结论本市结核耐药水平较高,明显受到外来人口的影响,全市推行DOTS策略,是降低区域耐药结核的重要措施。
Objective To monitor the prevalence and trends of drug-resistant pulmonary tuberculosis and to evaluate the effectiveness of tuberculosis control in this municipality. Methods According to the WHO / IUAT Guidelines for Tuberculosis Drug Resistance, newly-registered smear-positive pulmonary TB patients were monitored for drug-resistant TB, with no less than 40% of the total number of smear-positive tuberculosis patients registered in the year. Results There were 2250 smear positive cases and 2168 smear positive cases. The average drug resistance rate was 34.9%, the highest streptomycin resistance rate was 24.1%. The multidrug resistance rate was 5.5% In young adults. Conclusion The level of tuberculosis resistance in this Municipality is relatively high, which is obviously affected by the immigrant population. The implementation of DOTS strategy in the city is an important measure to reduce drug-resistant TB in the region.