2021
DOI: 10.1001/jamanetworkopen.2021.5302
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Changes in Incidence and Epidemiological Characteristics of Pulmonary Tuberculosis in Mainland China, 2005-2016

Abstract: IMPORTANCE The World Health Organization End TB (Tuberculosis) Strategy aims to decrease the global incidence and mortality of TB by 90% and 95%, respectively, as of 2035. OBJECTIVE To characterize the recent epidemiological trend of pulmonary TB (PTB) in mainland China based on the national surveillance data. DESIGN, SETTING, AND PARTICIPANTS This cross-sectional study collected demographic and clinical data of all patients reported in the national Tuberculosis Information Management System of

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Cited by 46 publications
(50 citation statements)
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“…Therefore, prevention and control of hepatitis B in adults, especially young adults, is still a substantial challenge. For tuberculosis, delayed diagnosis is common in low- and middle-income countries [39] , which may increase the incidence of tuberculosis. Besides, tuberculosis patients in Eastern Europe and the Middle East countries are mainly refugees [40] , and there might be underreporting issues, resulting in an underestimation of disease burden.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, prevention and control of hepatitis B in adults, especially young adults, is still a substantial challenge. For tuberculosis, delayed diagnosis is common in low- and middle-income countries [39] , which may increase the incidence of tuberculosis. Besides, tuberculosis patients in Eastern Europe and the Middle East countries are mainly refugees [40] , and there might be underreporting issues, resulting in an underestimation of disease burden.…”
Section: Discussionmentioning
confidence: 99%
“…As suggested in this study, a series of COVID-19 control measures might reduce the community transmission of tuberculosis. However, China has a large base of tuberculosis patients, high drug resistance rate, unsatisfactory therapeutic effect, and low cure rate (21). During the outbreak period, the closure of many medical institutions and emergency clinics, the suspension of admission of tuberculosis patients in some designated tuberculosis hospitals, the decrease in the number of tuberculosis screening patients, and the delay or interruption of treatment of tuberculosis patients may increase the risk of potential tuberculosis infection and the probability of chronic transmission.…”
Section: Discussionmentioning
confidence: 99%
“…The former is diagnosed by bacteriological evidence acquired by sputum smear and culture or a rapid diagnostic system, such as the GeneXpert MTB/RIF. The latter is diagnosed by chest imaging, epidemiological findings, and clinical symptoms along with other relevant testing [ 17 ]. All identifications are based on the National Diagnostic Criteria for Pulmonary Tuberculosis (WS288-2008 and WS288-2017) and Classification of Tuberculosis (WS196-2001 and WS196-2017) in China [ 18 , 19 ].…”
Section: Methodsmentioning
confidence: 99%