Delay in identification of pulmonary tuberculosis among children and adolescents in Jiaxing City from 2013 to 2022
10.19485/j.cnki.issn2096-5087.2023.12.017
- Author:
GE Rui
;
TIAN Min
;
HOU Zhigang
;
PAN Weizhe
;
ZHU Guoying
;
FENG Hao
- Publication Type:Journal Article
- Keywords:
pulmonary tuberculosis;
children and adolescents;
delay in identification;
influencing factor
- From:
Journal of Preventive Medicine
2023;35(12):1089-1092
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the delay in identification of pulmonary tuberculosis and influencing factors among children and adolescents in Jiaxing City, Zhejiang Province from 2013 to 2022, so as to provide the reference for targeted prevention and control measures.
Methods:The information of pulmonary tuberculosis patients in Jiaxing City from 2013 to 2022 were captured from the Tuberculosis Information Management System of Chinese Disease Control and Prevention Information System, including demographics, diagnosis, treatment and etiological results. The delay in identification of pulmonary tuberculosis was analyzed among children and adolescents, and the factors affecting the delay in identification of pulmonary tuberculosis were identified using a multivariable logistic regression model.
Results:A total of 2 407 pulmonary tuberculosis cases were reported among children and adolescents in Jiaxing City from 2013 to 2022, including 1 522 males (63.23%). The median age was 21.00 (interquartile range, 4.00) years. There were 410 students (17.03%), and 1 856 cases with non-local household registration (77.11%). There were 596 cases with delay in identification of tuberculosis (24.76%), 895 cases with delay in healthcare-seeking (37.18%) and 128 cases with delay in definitive diagnosis (5.32%). Multivariable logistic regression analysis that children and adolescents who occurred symptoms in the first quarter (OR=1.684, 95%CI: 1.261-2.249), were diagnosed first in county-level medical institutions (OR=3.800, 95%CI: 2.898-4.983) and had positive results of etiological testing (OR=1.534, 95%CI: 1.255-1.874) were more likely to delay in identification of pulmonary tuberculosis.
Conclusions:The delay in identification of pulmonary tuberculosis is associated with the time of symptom onset, the level of medical institution making first diagnosis, and the results of etiological testing. It is suggested to reinforce the publicity of pulmonary tuberculosis prevention and control, expand the coverage of screening programs and improve the diagnosis capability of medical institutions.
- Full text:20240723103917821962013—2022年嘉兴市儿童青少年肺结核发现延迟分析.pdf
