Analysis on characteristic of pulmonary tuberculosis cases reported in children from four provinces in China, 2019-2021.
10.3760/cma.j.cn112338-20220630-00580
- Author:
Chun Hua ZHANG
1
;
Tao LI
1
;
Xin DU
1
;
Xiao Xin HE
2
;
Li Ping ZHOU
3
;
Jun FAN
4
;
Chuang CHEN
5
;
Yan Lin ZHAO
1
;
Wei CHEN
1
Author Information
1. Policy Planning Department, National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
2. Beijing Center for Disease Prevention and Control, Beijing 100013,China.
3. Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079,China.
4. Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400050, China.
5. Sichuan Provincial Center for Disease Control and Prevention, Chengdu 610041, China.
- Publication Type:Journal Article
- MeSH:
Male;
Child;
Female;
Humans;
Tuberculosis, Pulmonary/epidemiology*;
Hospitals, Chronic Disease;
China/epidemiology*;
Asian People;
Hospitals, General
- From:Chinese Journal of Epidemiology
2022;43(11):1739-1745
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To analyze the reported characteristics of pulmonary tuberculosis (TB) in children aged 0-14 years in four provinces (municipalities), Beijing, Hubei, Chongqing and Sichuan, in China, and provide evidence for the prevention and control of pulmonary TB in children. Methods: The incidence data of childhood pulmonary TB were collected from notifiable disease and tuberculosis management information system of Chinese information system for disease control and prevention,and descriptive epidemiological methods were used to analyze the medical care seeking flow, characteristics and management inclusion of pulmonary TB cases in children. Statistical analysis and data visualization were conducted with softwares Excel 2015, R 4.1.2 and Echart 4.7.0. Results: A total of 6 811 pulmonary TB cases in children were reported in the four provinces during 2019-2021, in which 4 741 (69.6%) were clinically diagnosed and 2 070 (30.4%) were laboratory confirmed. A total of 526 medical institutions reported TB cases in children, including 356 general hospitals (67.7%, 356/526) reporting 4 706 cases, 11 infectious disease hospitals (2.1%, 11/526) reporting 836 cases and 5 children's hospitals (1.0%, 5/526) reporting 542 cases. A total of 6 249 (91.7%) local cases and 562 (8.3%) non-local cases were reported. The reported local incidence rates of TB from 2019-2021 were 6.20/100 000, 7.10/100 000 and 7.20/100 000, respectively, showing an increase trend year by year. The sex ratio of the cases were 0.98∶1(3 373∶3 438). The cases were mainly distributed in age group 10-14 years (4 887 cases, 71.8%). The cases were mainly students (5 167 cases, 75.9%). The management inclusion rates of the local cases and non-local cases were 20.60% and 2.67%, respectively. Conclusions: The main medical institutions reporting pulmonary TB cases in children were children's hospitals, infectious disease hospitals and TB special hospitals, the incidence of pulmonary TB in children in Sichuan was higher. In 2020, the inter-provincial medical seeking behavior of the pulmonary TB cases decreased significantly. The incidence rate in boys was lower than that in girls, and children aged 10-14 years were the population with high incidence of pulmonary TB. The management inclusion rate in non-local cases was lower than that in local cases.
