Analysis of tuberculosis case-finding and incidence in prisoners in Tianjin Prison System during 2011 to 2017

doi:10.3969/j.issn.2095-3755.2018.04.010

Abstract

Abstract:

Objective To analyze tuberculosis (TB) case-finding as well as the trend among prisoners in Tianjin Prison System.Methods The registration data of 1280 prisoners with pulmonary TB in the Tianjin Tuberculosis Registration and Management System from 2011 to 2017 were collected, and changes in the case-finding methods and incidence were analyzed.Results Among the 1280 pulmonary TB patients, patients found by entry screening, annual massive screening and case-finding based on suspect TB symptoms accounted for 28.6% (366 cases), 42.2% (540 cases) and 29.2% (374 cases), respectively. Regarding the case-finding methods, percent by entry screening increased from 15.2% (30/197) in 2011 to 62.5% (135/216) in 2017, and the difference was statistically significant (χ ²=157.22, P<0.01); percent by massive screening decreased from 35.5% (70/197) in 2011 to 26.4% (57/216) in 2017, and the difference was statistically significant (χ ²=16.33, P<0.01); percent by case-finding based on suspect TB symptoms decreased from 49.3% (97/197) in 2011 to 11.1% (24/216) in 2017, and the difference was statistically significant (χ ²=65.12, P<0.01). The incidence of smear positive pulmonary TB patients among prisoners in Tianjin Prison System declined from 44.0/100000 (9/20450) in 2011 to 9.8/100000 in 2017 (2/20452), and the difference was statistically significant (χ ²=6.60, P=0.010). Conclusion Relying on active (entry screening and massive screening) and passive (based on suspect TB symptoms) case finding, TB prevalence among prisoners in Tianjin was effectively controlled. Compared to conventional passive case finding, active case finding played a more important role in TB control among prisoners.

Key words: Tuberculosis, pulmonary, Prisons, Prisoners, Incidence, Cross-sectional studies, Communicable disease control

Zhi ZHANG,Wei WANG,Guo-qin ZHANG,Wen-liang WEI. Analysis of tuberculosis case-finding and incidence in prisoners in Tianjin Prison System during 2011 to 2017[J]. Journal of Tuberculosis and Lung Health , 2018, 7(4): 275-278. doi: 10.3969/j.issn.2095-3755.2018.04.010

Figures/Tables 3

References 8

[1]	高微微, 唐神结 . 关注特殊人群结核病的诊治. 结核病与肺部健康杂志, 2017,6(1):3-5. doi: 10.3969/j.issn.2095-3755.2017.01.002 URL
[2]	傅衍勇, 李尚伦, 邹逸伟 , 等. 在押犯人中肺结核病人发现方式和治疗效果研究. 中国防痨杂志, 2008,30(5):402-405. doi: 10.3969/j.issn.1000-6621.2008.05.004 URL
[3]	张国钦, 魏文亮, 张玉华 , 等. 天津市某监狱羁押人员结核感染状况及危险因素分析. 中国防痨杂志, 2016,38(7):569-575. doi: 10.3969/j.issn.1000-6621.2016.07.011 URL
[4]	李莉, 刘亚莉, 王晓红 , 等 . 北京市看守所结核病防治知识知晓率调查分析 . 北京医学, 2012, 34(9): 857, 860.
[5]	杨东, 杨曦, 袁刚 , 等. 四川省女子监狱服刑人员肺结核相关防治知识调查. 寄生虫病与感染性疾病, 2016,14(2):99-101.
[6]	任世刚, 袁祥虎, 李泽洋 , 等. 某监狱服刑人员结核病流行情况及预防性服药效果分析. 中国公共卫生管理, 2014,30(5):619-620.
[7]	吴清芳, 谭卫国, 罗道泉 , 等. 深圳市监狱肺结核患者发现方式的研究. 中国防痨杂志, 2013,35(8):606-608.
[8]	景睿, 王晓婷, 曹艳民 , 等. 济南市某男子、女子监狱羁押人员肺结核防治核心信息知晓情况分析. 中国防痨杂志, 2016,38(8):670-673.

年份	涂阳肺结核		涂阴肺结核		合计 (例)
年份	例数	构成比(%)	例数	构成比(%)	合计 (例)
2011	9	4.6	188	95.4	197
2012	9	4.7	181	95.3	190
2013	3	1.6	181	98.4	184
2014	21	13.1	139	86.9	160
2015	8	5.0	153	95.0	161
2016	8	4.7	164	95.3	172
2017	2	0.9	214	99.1	216
合计	60	4.7	1220	95.3	1280

年份	入监体检		普查		因症就诊		合计 (例)
年份	例数	构成比(%)	例数	构成比(%)	例数	构成比(%)	合计 (例)
2011	30	15.2	70	35.5	97	49.3	197
2012	24	12.6	113	59.5	53	27.9	190
2013	27	14.7	87	47.3	70	38.0	184
2014	42	26.3	74	46.3	44	27.4	160
2015	36	22.3	75	46.6	50	31.1	161
2016	72	41.9	64	37.2	36	20.9	172
2017	135	62.5	57	26.4	24	11.1	216
合计	366	28.6	540	42.2	375	29.2	1280

年份	受检人数 (名)	肺结核		涂阳肺结核
年份	受检人数 (名)	例数	发病率(/10万)	例数	发病率(/10万)
2011	20450	197	963.3	9	44.0
2012	20449	190	929.1	9	44.0
2013	20225	184	976.5	3	14.7
2014	20457	160	782.3	21	102.6
2015	20524	161	784.4	8	38.9
2016	20445	172	841.2	8	39.1
2017	20452	216	1056.2	2	9.8
合计	143002	1280	895.1	60	42.0

[1]	Zhao Yongnian, Zhang Lijie, Wang Tongmin. Analysis of the epidemiological characteristics of reported pulmonary tuberculosis in Xinjiang Production and Construction Corps, 2014—2023 [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 30-34.
[2]	Yang Yan, Dong Wen, Chen Jianjun, Zhang Yu. Epidemiologic characteristics of pulmonary tuberculosis in Zhuxi County, Shiyan City (2014-2023) [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 40-45.
[3]	Liao Ying, Pang Yan, Zhao Jing, He Gaoqin, You Maolin, Wang Lei. Analysis on the reporting and case finding delay characteristics of pulmonary tuberculosis patients in Liangping District, Chongqing from 2018 to 2023 [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(1): 8-13.
[4]	Lu Kunyun, Tang Shunding, Wu Wei, Li Ling, Yang Rui, Xu Lin. Analysis of tuberculosis case detection in key areas of Yunnan Province during 2015—2022 [J]. Journal of Tuberculosis and Lung Disease, 2024, 5(5): 415-421.
[5]	Lezhe Laji, He Xin, Xu Qiang, Fan Li, Cao Hongju, Sun Shanhua. Epidemiological characteristics of pulmonary tuberculosis from Meigu County,Liangshan Yi Autonomous Prefecture from 2019 to 2023 [J]. Journal of Tuberculosis and Lung Disease, 2024, 5(4): 311-316.
[6]	Zhao Wenli, Fang Zihao, Xu Yannan, Liu Suyang, Lin Jianxiong, Chen Zhuanghao, Fu Hui, Chen Ruiming, Chang Qiaocheng. Epidemiological characteristics of tuberculosis in Na’nao County, Guangdong Province from 2005 to 2023 [J]. Journal of Tuberculosis and Lung Disease, 2024, 5(4): 317-324.
[7]	Sun Haiyan, Dai Xiaoqi, Song Song, Chen Meng, Xu Honghong, Wang Zhongdong, Zhang Huaqiang. Analysis of the epidemic characteristics of pulmonary tuberculosis in Qingdao from 2008 to 2022 [J]. Journal of Tuberculosis and Lung Disease, 2024, 5(2): 164-167.
[8]	Chen Wei, Sun Huijuan, Zhao Yanlin. Construction and prospects of tuberculosis prevention and control service system in China during the new era [J]. Journal of Tuberculosis and Lung Disease, 2024, 5(2): 95-100.
[9]	Wang Mengmeng, Sha Li, Li Xinyue, Tang Suyao. Meta analysis of the incidence of peripheral neuritis during the treatment of multidrug-resistant tuberculosis [J]. Journal of Tuberculosis and Lung Disease, 2023, 4(1): 41-47.
[10]	Lu Yu, Wang Xiaodong, Jiang Qiuling, Xu Yulin. Investigation on cognition of chronic obstructive pulmonary disease related fatigue among respiratory and critical care nurses in tertiary hospitals [J]. Journal of Tuberculosis and Lung Disease, 2022, 3(6): 490-495.
[11]	Yang Zhen, Lei Nan, Zhao Fei, He Yanping, Lin Na, Zhang Zhiguo. Investigation on latent infection of Mycobacterium tuberculosis among freshmen in Colleges and universities in Changping District of Beijing and analysis of preventive treatment effect of latent infection [J]. Journal of Tuberculosis and Lung Disease, 2022, 3(4): 274-280.
[12]	LEI Yu, WU Gui-feng, WANG Ting, LIN Ying, DU Yu-hua. Analysis of active detection of pulmonary tuberculosis among students in Guangzhou from 2017 to 2020 [J]. Journal of Tuberculosis and Lung Disease, 2022, 3(3): 231-235.
[13]	ZOU Jin-yan, LU Li-ping, LI Yong, LI Jin. Analysis of the epidemiological characteristics of pulmonary tuberculosis among nonlocal people in Songjiang District of Shanghai City from 2010 to 2019 [J]. Journal of Tuberculosis and Lung Disease, 2022, 3(3): 236-241.
[14]	SUN Shan-hua, LI Yan-yuan, TAO Li-ying, GAO Zhi-dong, ZHANG Hong-wei, XU Yan, CHEN Xi. Characteristics of report, registration and epidemiolog from children pulmonary tuberculosis in Beijing during 2011-2020 [J]. Journal of Tuberculosis and Lung Disease, 2021, 2(4): 305-310.
[15]	GUO Qiang, MA Ling, LI Jiang-hong, ZHANG Lei-lei, SHAO Fu-rong, ZHANG Lan, YANG Shu-min. Investigation and analysis of the implementation status of tuberculosis prevention and control in schools in Gansu Province during 2015 to 2020 [J]. Journal of Tuberculosis and Lung Disease, 2021, 2(4): 322-325.