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

Turn off MathJax

Article Contents

Abstract

References

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2021 > 42(12): 1781-1784

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

Citation:

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

Citation:

PDF( 363 KB)

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

FullText(HTML)

References(21)

References

[1]	成君, 刘剑君. 我国学校结核病疫情监测和预警的现状与进展[J]. 中国防痨杂志, 2020, 42(5): 436. doi: 10.3969/j.issn.1000-6621.2020.05.005 CHENG J, LIU J J. Current status and progress of surveillance and automated-alert for tuberculosis in school[J]. Chin J Antituberc, 2020, 42(5): 436. doi: 10.3969/j.issn.1000-6621.2020.05.005
[2]	XU J, WANG G, ZHANG Y, et al. An outbreak of tuberculosis in a middle school in Henan, China: epidemiology and risk factors[J]. PLoS One, 2019, 14(11): e0225042. doi: 10.1371/journal.pone.0225042
[3]	YOU N N, ZHU L M, LI G L, et al. A tuberculosis school outbreak in China, 2018: reaching an often overlooked adolescent population[J]. Epidemiol Infect, 2019, 147: e303. doi: 10.1017/S0950268819001882
[4]	HOU J L, PANG Y, YANG X, et al. Outbreak of mycobacterium tuberculosis Beijing strain in a high school in Yunnan, China[J]. Am J Trop Med Hyg, 2020, 102(4): 728-730. doi: 10.4269/ajtmh.19-0533
[5]	覃江纯, 陈立凌. 2013—2017年苏州市学校传染病流行病学特征分析[J]. 中国校医, 2020, 34(4): 241-243. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI202004002.htm QIN J C, CHEN L L. Epidemiologic characteristics of infectious diseases in schools in Suzhou City from 2013 to 2017[J]. Chin J School Doctor, 2020, 34(4): 241-243. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI202004002.htm
[6]	张晓龙, 王斐娴, 傅颖, 等. 2015—2017年苏州市学校结核病聚集性疫情调查[J]. 现代预防医学, 2019, 46(14): 2634-2637. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201914036.htm ZHANG X L, WANG F X, FU Y, et al. Epidemic analysis of school tuberculosis outbreak in Suzhou city between 2015 and 2017[J]. Mod Prev Med, 2019, 46(14): 2634-2637. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201914036.htm
[7]	BAO H D, KUI L, WU Z K, et al. Tuberculosis outbreaks among students in mainland China: a systematic review and meta-analysis[J]. BMC Infect Dis, 2019, 19(1): 972. doi: 10.1186/s12879-019-4573-3
[8]	卫生部疾病预防控制局, 卫生部医政司, 中国疾病预防控制中心. 中国结核病防治规划实施工作指南[M]. 北京: 中国协和医科大学出版社, 2009: 52. Department of Health Diseases Control and Prevention, Department of Medical Administration, MOH, China CDC. Guidelines for implementation of tuberculosis prevention and control program in China[M]. Beijing: Peking Union Medical College Press, 2009: 52.
[9]	羊海涛, 陆伟, 竺丽梅. 耐药结核病的治疗与控制[M]. 北京: 军事医学科学出版社, 2014: 7. YANG H T, LU W, ZHU L M. Treatment and control of drug-resistant tuberculosis[M]. Beijing: Military Medical Science Press, 2014: 7.
[10]	杨俊超. 农村老年肺结核病人发现延误的影响因素研究[D]. 杭州: 浙江大学, 2010. YANG J C. Factors in diagnostic delay for old patients with pulmonary tuberculosis in rural areas[D]. Hangzhou: Zhejiang University, 2010.
[11]	BELAY M, BJUNE G, AMENI G, et al. Diagnostic and treatment delay among tuberculosis patients in afar region, Ethiopia: a cross-sectional study[J]. BMC Public Health, 2012, 12: 369. doi: 10.1186/1471-2458-12-369
[12]	BOJOVIC O, MEDENICA M, ZIVKOVIC D, et al. Factors associated with patient and health system delays in diagnosis and treatment of tuberculosis in Montenegro, 2015-2016[J]. PLoS One, 2018, 13(3): e0193997. doi: 10.1371/journal.pone.0193997
[13]	潘冬香, 林玫, 梁大斌, 等. 2010—2015年广西青少年新发涂阳肺结核发现延误及对预后的影响[J]. 中华疾病控制杂志, 2018, 22(5): 462. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201805007.htm PAN D X, LIN M, LIANG D B, et al. Diagnostic delay and therapy outcomes of new smear-positive pulmonary tuberculosis among adolescents in Guangxi, China from 2010 to 2015[J]. Chin J Dis Control Prev, 2018, 22(5): 462. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201805007.htm
[14]	陈彬, 王晓萌, 顾华, 等. 浙江省学生肺结核患者发现延误影响因素分析[J]. 中国学校卫生, 2013, 34(11): 1339. http://www.cjsh.org.cn/article/id/zgxxws201311020 CHEN B, WANG X M, GU H, et al. Influencing factors of case-finding delay among student pulmonary TB patients in Zhejiang Province[J]. Chin J Sch Health, 2013, 34(11): 1339. http://www.cjsh.org.cn/article/id/zgxxws201311020
[15]	刘魁, 吴婷, 王伟, 等. 2009—2018年浙江省 <15岁结核病患儿发现延误分析[J]. 结核病与肺部健康杂志, 2019, 8(2): 115. doi: 10.3969/j.issn.2095-3755.2019.02.009 LIU K, WU T, WANG W, et al. Delay in detection of tuberculosis in children under 15 years of age in Zhejiang Province from 2009 to 2018[J]. J Tuberc Lung Health, 2019, 8(2): 115. doi: 10.3969/j.issn.2095-3755.2019.02.009
[16]	李文辉, 冯汉阳, 钟明浩, 等. 东莞市青少年2009—2018年结核病患者就诊延迟及影响因素分析[J]. 中国学校卫生, 2021, 42(2): 264-268. doi: 10.16835/j.cnki.1000-9817.2021.02.026 LI W H, FENG H Y, ZHONG M H, et al. Delay on care-seeking and influencing factors among adolescent tuberculosis patients in Dongguan City from 2009 to 2018[J]. Chin J Sch Health, 2021, 42(2): 264-268. doi: 10.16835/j.cnki.1000-9817.2021.02.026
[17]	马煜, 杜昕, 邓亚丽, 等. 陕西省2015—2019年学生肺结核患者就诊延迟影响因素分析[J]. 中国学校卫生, 2021, 42(4): 615-621. doi: 10.16835/j.cnki.1000-9817.2021.04.031 MA Y, DU X, DENG Y L, et al. Factors influencing the delay of seeking medical treatment among students with tuberculosis in Shanxi Province from 2015 to 2019[J]. Chin J Sch Health, 2021, 42(4): 615-621. doi: 10.16835/j.cnki.1000-9817.2021.04.031
[18]	沈鸿程, 杜雨华, 张广川, 等. 2008—2018年广州市结核病患者就诊延误影响因素分析[J]. 中国防痨杂志, 2020, 42(5): 510-517. doi: 10.3969/j.issn.1000-6621.2020.05.017 SHEN H C, DU Y H, ZHANG G C, et al. Influencing factors of pulmonary tuberculosis patient delay in Guangzhou, 2008-2018[J]. Chin J Antituberc, 2020, 42(5): 510-517. doi: 10.3969/j.issn.1000-6621.2020.05.017
[19]	杨妮, 饶正远, 夏岚, 等. 2016—2018年四川省学生活动性肺结核患者发现延迟影响因素分析[J]. 疾病监测, 2019, 34(12): 1113-1116. doi: 10.3784/j.issn.1003-9961.2019.12.017 YANG N, RAO Z Y, XIA L, et al. Influencing factors for delay in case-finding of active pulmonary tuberculosis in students in Sichuan, 2016-2018[J]. Dis Surveill, 2019, 34(12): 1113-1116. doi: 10.3784/j.issn.1003-9961.2019.12.017
[20]	陈松华, 王晓萌, 钟节鸣, 等. 肺结核病新患者发现延误及影响因素分析[J]. 中国公共卫生, 2013, 29(4): 481-484. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201304006.htm CHEN S H, WANG X M, ZHONG J M, et al. Factors associated with diagnostic delay for primary pulmonary tuberculosis patients in Zhejiang province[J]. Chin J Public Health, 2013, 29(4): 481-484. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201304006.htm
[21]	马希鹏. 济宁市初治活动性肺结核患者发现延迟情况及影响因素分析[D]. 济南: 山东大学, 2018. MA X P. Study on the delay in detection and influencing factors among patients with new active pulmonary tuberculosis in Jining[D]. Jinan: Shandong University, 2018.