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在实施结核病控制规程下,我省两个全国结核病监测点以传染源发现与彻底化疗为重点,切断传染链,减少传染危害;同时对婴幼儿接种BCG,以减少发病。1988~1994年两个点治管活动性肺结核3337例,其中涂阳992例。新登涂阳病人痰菌阴转率96.9%,0~4岁儿童原发肺结核及结核性脑膜炎发病年递降率分别为21.2%、37.9%;5~14岁组年递降率分别为13.7%、18.9%,两者呈同步明显下降。表明以家庭传染为主的儿童结核病流行趋向有效控制。
Under the TB control regulations, two national TB monitoring points in our province focus on the discovery of source of infection and thorough chemotherapy, cut off the infection chain and reduce the contagion hazard. At the same time, infants and young children were vaccinated with BCG to reduce the incidence. From 1988 to 1994, 3337 cases of active pulmonary tuberculosis were treated at two points, of which 992 cases were smear positive. The sputum negative conversion rate of new smear-positive patients was 96.9%. The descending rates of primary pulmonary tuberculosis and tuberculous meningitis in children aged 0-4 years were 21.2% and 37.9% respectively. In the group of 5-14 years old The rate of descending was 13.7% and 18.9% respectively, showing a significant decrease in synchronization. This indicates that the prevalence of tuberculosis among children who are predominantly infected by family members tends to be effectively controlled.