TÌNH HÌNH VÀ KẾT QUẢ ĐIỀU TRỊ LAO MẮC MỚI TRONG 3 NĂM 2018-2020 TẠI TỈNH ĐỒNG THÁP

Abstract

Background: According to the 2017 WHO report, Vietnam is still a country with a high burden of tuberculosis, ranked 15th among the 30 countries with the highest number of tuberculosis globally [1], According to the 2019 report of tuberculosis program in Dong Thap province, Dong Thap is a province with a relatively high rate of new TB cases, ranking 7th in the country and 2nd in the Mekong Delta region (after An Giang province) [2]. Objectives: 1) Determine the rate and epidemiological characteristics of new tuberculosis infections in people aged 15 years and older in Dong Thap province in 3 years, from 2018 to 2020. 2) Evaluate the results of New cases of tuberculosis treatment in 3 years, from 2018 to 2020 in Dong Thap province. Subjects and methods: A cross-sectional descriptive and analyzed was conducted all people aged 15 years and older, diagnosed with newly tuberculosis according to 2018 guidelines of Ministry of Health, based on clinical signs, X-ray and sputum smear positive and had not been treated with any anti-tuberculosis drugs. Results: From 2018 to 2020, the overall TB incidence rate in Dong Thap province in 3 years is 147/100,000 people, the TB incidence rate for people >15 years old is 179/100,000 people, the new TB incidence rate is 136/100,000 people, the rate of newly TB with positive sputum smear is 89/100,00 people. The average age of new TB patients is 52.3±16.3, patients in the ≥65 year old group accounts for the highest proportion (24.4%). The ratio of male/female patients is 3.4. The majority of patients have primary school education and illiterate (47%), are farmers (60.4%), live in rural areas (82.9%) and are not poor (76%). Area 1 (the Cambodian Border region) has the highest rate of new TB cases/100,000 people (142/100,000 people). The rate of new tuberculosis patients addicted to alcohol is 12.9%, of which 1.7% are chronic alcoholics; 36.8% are addicted to smoking, of which 14.9% are heavy smokers. Most of new TB patients are thin (BMI <18), accounting for 41.3%; have at least one comorbid disease (59.1%), among the comorbid diseases, the rate of gastritis is 28.4%, cardiovascular disease 28.2%, diabetes 17.1%,... Results of treatment of newly diagnosed tuberculosis patients in 3 years recorded: the rate of successful treatment (including cure and completion of treatment) is 94.2% and unsuccessful treatment (5.8%), of which, the death rate is 3.1%. Conclusion: The average rate of new AFB (+) tuberculosis is rather hight in Dong Thap province. Most of patients are not poor, live in area 1 (border areas), mainly rural areas. population, with many comorbidities. The successful treatment was hightly.