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To analyze the treatment outcomes and influencing factors among pulmonary tuberculosis patients in Guizhou Province from 2017 to 2022, and to improve a basis for enhancing tuberculosis prevention and control strategies.
Individual cases of pulmonary tuberculosis patients in Guizhou Province from 2017 to 2022 were obtained from The Tuberculosis Information Management System. The distribution characteristics of treatment success were described using percentages (%), and the Chi-square test and binary logistic regression model were utilized to analyze the factors influencing treatment outcomes.
During the period of 2017 to 2022, the annual average registration rate of pulmonary tuberculosis patients in Guizhou Province was 97.27/100 000 population, exhibiting a consistent downward trend (trend χ2=2 230.684, P<0.001). Meanwhile, the treatment success rate among the patients during the same time period was 92.89%, demonstrating a steady increase (trend χ2=51.800, P<0.001). Analysis results of influencing factors showed that compared with female, age group <20 years old, cadres and staff, physical examination, negative etiological results, initial treatment, no comorbidities, no other tuberculosis, and negative HIV test results, male (OR=0.736, 95% CI:0.709-0.765), ≥60 years old age group (OR=0.360, 95% CI:0.323-0.402), farmers (OR=0.591, 95% CI:0.468-0.747), medical treatment due to illness (OR=0.716, 95% CI: 0.599-0.855), retreatment (OR=0.570, 95% CI:0.540-0.602), complications (OR=0.789, 95% CI:0.752-0.827), other tuberculosis (OR=0.685, 95% CI:0.542-0.867) and positive HIV test results (OR=0.387, 95% CI:0.342-0.437) were risk factors for successful treatment(P<0.05).
Overall, the treatment outcomes of pulmonary tuberculosis patients in Guizhou Province are highly positive. However, it is essential to recognize that there are disparities in the distribution of treatment outcomes across various population groups. Hence, it is recommended to prioritize the treatment concerns of specific demographics, including male patients, the elderly population, individuals residing in Bijie city, patients with positive microbiological results, HIV=positive patients, individuals requiring retreatment, and those with comorbidities or concurrent tuberculosis. By focusing on these groups, targeted interventions and tailored approaches can be implemented to ensure that all individuals receive optimal treatment and care.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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