Epidemiology, clinical features and prevention research of pulmonary tuberculosis in the military units of the Southern Theatre of Operations
10.3969/j.issn.1009-0754.2015.03.001
- VernacularTitle:南战区部队肺结核的流行病学、临床特征与防治研究
- Author:
Xiaotian LIN
1
;
Yuanqi XIE
;
Yu WANG
;
Changxu LIU
Author Information
1. 解放军第四二二医院广州军区传染病重点学科
- Keywords:
Southern theatre of operations;
Military unit;
Pulmonary tuberculosis;
Epidemiology;
Clinical feature;
Preven-tion and treatment
- From:
Journal of Navy Medicine
2015;(3):193-195,204
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore epidemiology, clinical features and prevention strategy for pulmonary tuberculosis in the military units of the Southern Theatre of Operations.Methods Analyses were made on the epidemiological and clinical data of 146 confirmed cases of pulmonary tuberculosis ( TB) from 2008 to 2012 in the Southern Theatre of Operations.Then, short-term chemother-apy and preventive anti-TB chemotherapy were given to the patients and those having close contact with the patients.Results Morbidity of pulmonary tuberculosis in the military units of the Southern Theatre of Operations tended to decrease year by year.Incidence was higher in summer and autumn seasons and most victims were military personnel with 1-3 years of service.Main clinical symptoms were cough, sputum, chest pain, and tightness in the chest.Positive rates of serum TB antibody, tuberculin (PPD) test and sputum TB bac-teria test were usually not high ( about 30%) .Lung imaging foci were mostly in the upper lobe of the lung, accounting for 63%.Re-sults of the 2-month treatment indicated that effectual rate was 91.1%(133 cases), effective rate 7.5%(11 cases) and non-effective rate 1.4%(2 cases), with total effective rate being 98.6%and recurrent rate being 1.5%(2/133).Outbreak of pulmonary tubercu-losis infection was seen neither among those in close contact with TB patients nor in their units.Conclusion The strategy for the pre-vention and control of pulmonary TB in the Southern Theatre of Operations was early diagnosis and treatment of the disease.Routine health check and health check before deployment, close monitoring of main risk population and preventive treatment of those in close contact with open pulmonary TB patients with anti-TB chemotherapy were important measures, so that the outbreak of TB infection could be effectively curbed in the military units.
