Delay in student pulmonary tuberculosis case-finding and associated factors in Suzhou during 2011 to 2020

FU Ying; JIANG Jun; ZHANG Xiaolong; LI Yun; WANG Feixian

doi:10.16835/j.cnki.1000-9817.2021.12.006

Volume 42 Issue 12

Dec. 2021

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FU Ying, JIANG Jun, ZHANG Xiaolong, LI Yun, WANG Feixian. Delay in student pulmonary tuberculosis case-finding and associated factors in Suzhou during 2011 to 2020[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(12): 1781-1784. doi: 10.16835/j.cnki.1000-9817.2021.12.006

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FU Ying, JIANG Jun, ZHANG Xiaolong, LI Yun, WANG Feixian. Delay in student pulmonary tuberculosis case-finding and associated factors in Suzhou during 2011 to 2020[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(12): 1781-1784. doi: 10.16835/j.cnki.1000-9817.2021.12.006

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Delay in student pulmonary tuberculosis case-finding and associated factors in Suzhou during 2011 to 2020

doi: 10.16835/j.cnki.1000-9817.2021.12.006

Department of Tuberculosis Prevention and Control, Suzhou Center for Disease Control and Prevention, Suzhou(215004), Jiangsu Province, China

Received Date: 2021-06-28
Rev Recd Date: 2021-10-18

Available Online: 2021-12-23

Publish Date: 2021-12-25

Abstract

Abstract

Objective To analyze delay in student pulmonary tuberculosis(PTB) case-finding and associated factors in Suzhou, and to provide a reference for tuberculosis outbreak prevention and control in schools. Methods A total of 1 148 students with PTB who registered and were treated in Suzhou from 2011 to 2020 were included. Kruskal-Wallis H test, 2 test and Cochran-Armitage trend test were used to analyze the time trend of case-finding delay. Logistic regression was used to analyze the correlation between admission characteristics and case-finding delay. Results Among the students with PTB, a total of 569 cases were found to be delayed. The rate of delay was 49.6%, and the median delay time was 26(11-49) days. From 2011 to 2020, the difference in case-finding interval of students with PTB was statistically significant(Hc=54.62, P < 0.05), and the difference in case-finding rate was also statistically significant(χ²=53.69, P < 0.05). The rate of delay fluctuated, with an overall upward trend over time(Z=-3.67, P < 0.05). Clinical consultation(OR=5.57, 95%CI=1.91-16.27), positive etiology (OR=1.46, 95%CI=1.14-1.86) were positively correlated with case-finding delay(all P < 0.05). Conclusion There are significant delays in case-finding among students with PTB in Suzhou. Clinical consultation and positive etiology are associated with case-finding delay. In response to the growing problems in daily school tuberculosis prevention and control, multiple departments should cooperate to implement relevant measures and to reduce the occurrence of case-finding delay.
- Tuberculosis, pulmonary,
- Regression analysis,
- Students,
- Retrospective studies

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References(21)

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