[Analysis of the epidemic characteristics and treatment outcomes of rifampicin-resistant pulmonary tuberculosis in Yangzhou City from 2012 to 2020]

Zhonghua Yu Fang Yi Xue Za Zhi. 2024 Nov 6;58(11):1679-1683. doi: 10.3760/cma.j.cn112150-20240102-00003.
[Article in Chinese]

Abstract

Information on patients with rifampicin-resistant pulmonary tuberculosis (RR-PTB) in Yangzhou City from 2012 to 2020 was obtained from the Information System of the Chinese Center for Disease Control and Prevention. The epidemic characteristics of RR-PTB patients were analyzed by using χ2 test. The average annual registered incidence rate of RR-PTB patients in Yangzhou City from 2012 to 2020 was 0.57/100 000, and the difference between the registered incidence rates in each year was statistically significant (χ2=29.326, P<0.001). The proportion of re-treated patients (64.8%) was higher than that of newly treated patients (35.2%, χ2=50.593, P<0.001). The registered incidence rate in males (0.91/100 000) was higher than that in females (0.24/100 000, χ2=80.566, P<0.001). The age distribution showed that the highest incidence rate was in the age group≥60 years (0.96/100 000) and the lowest was in the age group 0-<45 years (0.31/100 000, χ2=55.853, P<0.001). From 2012 to 2020, Baoying County had the largest number of registered RR-PTB patients (44 cases), and its registered incidence rate (0.64/100 000) was only lower than that of Guangling District (0.98/100 000). The registered incidence rate of RR-PTB patients in Baoying County during 2016-2020 also increased significantly compared to 2012-2015 (P=0.001). Logistic regression was used to analyze the factors related to the treatment outcome of RR-PTB patients. The results showed that patients aged≥60 years and those classified as the re-treatment were risk factors for successful treatment of RR-PTB patients (P<0.05). In summary, males, people aged≥60 years, patients classified as the re-treatment, and residents of Baoying County should be the key populations for RR-PTB epidemic prevention and control in Yangzhou City.

从中国疾病预防控制信息系统中获取2012—2020年扬州市利福平耐药肺结核(RR-PTB)患者病例资料,采用χ2检验分析RR-PTB患者流行特征,结果显示,2012—2020年扬州市RR-PTB患者年均登记发病率0.57/10万,各年份登记发病率差异有统计学意义(χ2=29.326,P<0.001),复治患者占比(64.8%)高于初治患者(35.2%,χ2=50.593,P<0.001)。男性登记发病率(0.91/10万)高于女性(0.24/10万,χ2=80.566,P<0.001)。年龄分布显示,患者登记发病率以≥60岁年龄段最高(0.96/10万),0~<45岁年龄段最低(0.31/10万,χ2=55.853,P<0.001)。2012—2020年宝应县RR-PTB患者登记数(44例)最多,登记发病率(0.64/10万)仅次于广陵区(0.98/10万),而2016—2020年与2012—2015年相比,宝应县RR-PTB患者登记发病率亦显著增加(P=0.001)。采用logistic回归分析RR-PTB患者的治疗转归相关因素,结果显示,患者年龄≥60岁和复治分类为影响RR-PTB患者成功治疗的危险因素(P<0.05)。综上,扬州市RR-PTB疫情防控的重点人群为男性、≥60岁人群、复治患者和宝应县地区的居民。.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • China / epidemiology
  • Female
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Rifampin* / therapeutic use
  • Treatment Outcome
  • Tuberculosis, Multidrug-Resistant / drug therapy
  • Tuberculosis, Multidrug-Resistant / epidemiology
  • Tuberculosis, Pulmonary* / drug therapy
  • Tuberculosis, Pulmonary* / epidemiology
  • Young Adult

Substances

  • Rifampin