中国における結核の流行,1990年−2010年;国家調査データの縦断分析
Lixia Wang1, Hui Zhang1, Yunzhou Ruan1
1Chinese Center for Disease Control and Prevention, Beijing, China.
Lancet (London, England)
|March 22, 2014
まとめ
中国 中国 中国 中国 中国.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- 感染症のコントロール・コントロール
背景:
- 中国は,1990年代から,直接観察治療,短期治療 (DOTS) 戦略に基づいた,全国的な結核管理プログラムを実施しました.
- 2000年以降,DOTS戦略は全国に拡大され,全人口を対象とした.
- この研究は,中国の全国的な結核管理プログラムの疫学的影響を評価しています.
研究 の 目的:
- 中国国内の結核対策プログラムの有効性を評価する.
- 20年にわたる結核の流行と治療結果の動向を分析する.
- 結核の負担を軽減するためのDOTS戦略の貢献度を決定する.
主な方法:
- 1990年,2000年,2010年に実施された3つの全国結核流行調査の縦断分析.
- 2010年の調査で15歳以上の252,940人の被層化されたランダムサンプリングが31の大陸の州で行われた.
- 肺結核の診断は,胸部X線写真,唾液微鏡検査,および培養,確認された症例のインタビューによるものです.
主要な成果:
- スプレー陽性結核の罹患率は,1990年から2010年の間に人口10万人に170から59に減少した.
- 流行の減少は2000年以降加速し,1990年代の19%と比較して57%減少した.
- DOTSを使用した病院から公衆衛生センターへの治療のシフトは,2000年の15%から2010年の66%に増加し,治療の欠陥と再治療率を低下させました.
結論:
- 中国は20年間で結核の流行を成功裏に半減させました.
- 公衆衛生センターで実施されたDOTS戦略によって推進された結核治療の改善は,重要な要因でした.
- この研究は,拡大され,戦略に基づいた結核管理プログラムが公衆衛生に与える重大な影響を強調しています.
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