56例初治涂阳肺结核患者住院隔离治疗费用及痰菌传染性变化分析

新发传染病电子杂志 ›› 2020, Vol. 5 ›› Issue (1): 28-31.

56例初治涂阳肺结核患者住院隔离治疗费用及痰菌传染性变化分析

张小其¹, 刘靖元¹, 李敏璐¹, 瞿志军², 谭卫国³

1.深圳市龙岗区慢性病防治院结核病防治科,广东深圳 518172;
2.深圳市龙岗中心医院感染科,广东深圳 518116;
3.深圳市慢性病防治中心肺科广东深圳 518020

出版日期:2020-01-20 发布日期:2020-04-22
通讯作者: 刘靖元,Email：921239037@qq.com
基金资助:
深圳市龙岗区经济与科技发展专项资金医疗卫生科技计划项目（非扶持类）（LGKCYLWS2018000011）

Analysis of the cost of isolation treatment and the infection of sputum bacteria in 56 patients with smear positive pulmonary tuberculosis

Zhang Xiaoqi¹, Liu Jingyuan¹, Li Minlu¹, Qu Zhijun², Tan Weiguo¹

1.Department of Structural Control, Shenzhen Longgang District Institute of Chronic Disease Control, Guangdong Shenzhen 518172,China;
2.Department of Infection, Shenzhen Longgang Central Hospital, Guangdong Shenzhen 518116,China;
3.Pulmonary Department of Shenzhen Center for Chronic Disease Control, Guangdong Shenzhen 518020,China

Online:2020-01-20 Published:2020-04-22

摘要/Abstract

摘要： 目的分析初治涂阳肺结核患者住院隔离治疗2周费用及痰菌传染性变化, 评价住院隔离治疗模式和减少传染性可行性。方法收集2018年7月至2019年6月深圳市龙岗区慢性病防治院诊断为初治涂阳肺结核并参与住院隔离治疗的56例患者,分析其住院费用和痰涂片、罗氏培养痰菌的变化。结果 56例患者的住院天数为(15.6±1.5)d,96.42%(54／56)的患者住院2周以上,人均住院费用为9805元,住院隔离治疗2周痰菌涂片阴转率为48.21%(27／56),痰培养阴转率为44.64%(25／56),仍有半数以上的患者痰涂片阳性,痰培养阳性。结论隔离住院费用负担重,只有多渠道筹资解决患者隔离住院费用前提下,住院隔离治疗措施才可行;住院隔离2周可减少涂阳肺结核患者对周围人群的危害暴露,但半数以上的患者出院时仍有传染性,对于住院隔离治疗的最适宜时间以及探索社区居家隔离等其他更经济可行的方式仍需进一步研究。

关键词: 肺结核, 传染性, 住院隔离, 费用, 统计

Abstract: Objective To analyze the cost of two weeks' isolation treatment and the change of sputum bacterial infectivity in smear positive pulmonary tuberculosis patients, and to evaluate the mode of isolation treatment and the feasibility of reducing infectivity. Methods From July 2018 to June 2019, 56 patients with smear positive tuberculosis diagnosed by Shenzhen Longgang District chronic disease prevention and control hospital and taking part in isolation treatment in hospital were collected, and the change data of hospitalization cost, sputum smear and sputum bacteria culture were analyzed. Results the average hospitalization days of 56 patients were (15.6 ± 1.5) days, 96.42% (54/56) patients were hospitalized for more than 2 weeks, the average hospitalization cost was 9805 yuan, the negative conversion rate of sputum smear was 48.21% (27/56), the negative conversion rate of sputum culture was 44.64% (25/56), and more than half of the patients were still smear positive and sputum culture positive. Conclusion the cost of isolated hospitalization is heavy, and the measures of isolated hospitalization can only be carried out on the premise of multi-channel financing to solve the cost of isolated hospitalization. Two weeks of isolated hospitalization can reduce the risk exposure of smear positive tuberculosis patients to the surrounding population, but more than half of the patients are still infectious. It is the most appropriate time and exploration for isolated hospitalization Other more economic and feasible ways such as community home isolation still need further study.

Key words: Tuberculosis, Infectivity, Hospitalization isolation, Cost, Statistics

张小其, 刘靖元, 李敏璐, 瞿志军, 谭卫国. 56例初治涂阳肺结核患者住院隔离治疗费用及痰菌传染性变化分析[J]. 新发传染病电子杂志, 2020, 5(1): 28-31.

Zhang Xiaoqi, Liu Jingyuan, Li Minlu, Qu Zhijun, Tan Weiguo. Analysis of the cost of isolation treatment and the infection of sputum bacteria in 56 patients with smear positive pulmonary tuberculosis[J]. Electronic Journal of Emerging Infectious Diseases, 2020, 5(1): 28-31.

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