Abstract：Objective To understand the epidemic features and consultation of pulmonary tuberculosis (TB) among the elderly in Hunan Province, and to provide evidence for formulating containment countermeasures against TB among elderly population. Methods We collected the registered data about elderly TB patients (aged ≥ 65 years) in Hunan Province from TB Information Management System of China Information System for Disease Control and Prevention in 2020. SPSS 25.0 software was used for statistical analysis. Results A total of 16,316 senile patients with pulmonary TB were registered in Hunan Province in 2020, accounting for 33.21% of the total number of pulmonary TB patients registered in the whole population, with a registered incidence rate of 165.78/100,000, which was 2.24 times higher than the registered incidence rate of pulmonary TB in the whole population. The male to female sex ratio was 2.64:1, with the highest incidence rate in the age group of 70-74 years. As regards the ranking of the registered incidence of senile pulmonary TB in Hunan Province, the top three were Hengyang City, Zhangjiajie City and Changde City. The active detection rate of senile pulmonary TB patients was 0.18%, which was lower than that of non-senile pulmonary TB patients (χ2=104.842, P<0.001). The clinic-visiting delay rate was 57.58%, which was higher than that of non-senile pulmonary TB patients (χ2=37.994, P<0.001). The diagnostic delay rate was 22.41%, which was lower than that of non-senile pulmonary TB patients (χ2=32.216, P<0.001). The proportion of re-treatment was higher in senile pulmonary TBpatients than in non-senile pulmonary TB patients (χ2=45.407, P<0.001), while the proportion of successful treatment was lower in senile pulmonary TB patients than in non-senile pulmonary TB patients (χ2=638.599, P<0.001). Conclusion Elderly patients are a high-risk group for pulmonary TB in Hunan Province, with a high delay rate in consultation and a low successful treatment rate. Active screening and standardized treatment should be actively carried out for elderly population.
谭文倩, 万燕萍, 龚德华, 徐祖辉, 刘兆春. 2020年湖南省老年肺结核患者流行特征及就诊情况分析[J]. 实用预防医学, 2022, 29(12): 1473-1476.
TAN Wen-qian, WAN Yan-ping, GONG De-hua, XU Zu-hui, LIU Zhao-chun. Epidemic characteristics and clinic-visiting status of senile pulmonary tuberculosis patients in Hunan Province, 2020. , 2022, 29(12): 1473-1476.
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