Feasibility analysis of tuberculosis screening in diabetes mellitus patients in community_West China Medical Journal

Authors：

LI Xiaorong ,  PANG Xuewen

Research Office, Tianjin Tuberculosis Control Center, Tianjin 300041, P. R. China;

Corresponding author：

PANG Xuewen, Email: pxw912@126.com

Keywords：

Diabetes mellitus; Tuberculosis; Screening

DOI：

10.7507/1002-0179.201912227

Video：

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Diabetes mellitus patients are usually at high risk of developing tuberculosis, the immune dysfunction caused by long-term high blood sugar, which can increase the susceptibility to tuberculosis. Severe tuberculosis could accelerate the course of diabetes mellitus and pose great difficulty to the clinical treatment. Therefore, early detection of potential tuberculosis patients in diabetes mellitus patients through tuberculosis screening and implementation of “three early” treatment can greatly improve the quality life of patients. This review summarizes the feasibility of tuberculosis screening in patients with diabetes mellitus, and to provide reference for the prevention and control of diabetes mellitus combined with tuberculosis.

Citation： LI Xiaorong, PANG Xuewen. Feasibility analysis of tuberculosis screening in diabetes mellitus patients in community. West China Medical Journal, 2021, 36(10): 1465-1468. doi: 10.7507/1002-0179.201912227 Copy

1.	Lönnroth K, Roglic G, Harries AD. Improving tuberculosis prevention and care through addressing the global diabetes epidemic: from evidence to policy and practice. Lancet Diabetes Endocrinol, 2014, 2(9): 730-739.
2.	Yang W, Lu J, Weng J, et al. Prevalence of diabetes among men and women in China. N Engl J Med, 2010, 362(12): 1090-1101.
3.	Jeon CY, Murray MB. Diabetes mellitus increases the risk of active tuberculosis: a systematic review of 13 observational studies. PLoS Med, 2008, 5(7): e152.
4.	邹立群, 徐爱晖. 肺结核病合并2型糖尿病患者临床特征分析. 临床肺科杂志, 2008, 5(7): e152-526.
5.	Kuo MC, Lin SH, Lin CH, et al. Type 2 diabetes: an independent risk factor for tuberculosis: a nationwide population-based study. PloS One, 2013, 8(11): e78924.
6.	蔡娜. 天津市海河医院结核合并2型糖尿病病例资料流行病学分析. 中国慢性病预防与控制, 2012, 20(1): 65-67.
7.	Teo ZL, Tham YC, Yu M, et al. Global prevalence of diabetic retinopathy and projection of burden through 2045: systematic review and meta-analysis. Ophthalmology, 2021, S0161-6420(21): 00321-3.
8.	Lin Y, Yuan Y, Zhao X, et al. The change in blood glucose levels in tuberculosis patients before and during anti-tuberculosis treatment in China. Glob Health Action, 2017, 10(1): 1289737.
9.	Saeedi P, Salpea P, Karuranga S, et al. Mortality attributable to diabetes in 20-79 years old adults, 2019 estimates: results from the international diabetes federation diabetes atlas, 9^th edition. Dibetes Res Clin Pract, 2020: 108086.
10.	World Health Organization. Global tuberculosis report 2020. Geneva: World Health Organization, 2020. (2020-10-14)[2021-07-28].https://www.who.int/teams/global-tuberculosis-programme/tb-reports.
11.	World Health Organization. Global tuberculosis control 2017. Geneva: World Health Organization, 2017. (2017-11-08)[2021-09-27].https://www.polity.org.za/article/global-tuberculosis-report-2017-2017-11-08.
12.	Noubiap JJ, Nansseu JR, Nyaga UF, et al. Global prevalence of diabetes in active tuberculosis: a systematic review and meta-analysis of data from 2.3 million patients with tuberculosis. Lancet Glob Health, 2019, 7(4): e448-e460.
13.	Restrepo BI, Fisher-Hoch SP, Pino PA, et al. Tuberculosis in poorly controlled type 2 diabetes: altered cytokine expression in peripheral white blood cells. Clin Infect Dis, 2008, 47(5): 634-641.
14.	Baker MA, Harries AD, Jeon CY, et al. The impact of diabetes on tuberculosis treatment outcomes: a systematic review. BMC Med, 2011: 81.
15.	Faurholt-Jepsen D, Range N, PrayGod G, et al. The role of diabetes on the clinical manifestations of pulmonary tuberculosis. Trop Med Int Health, 2012, 17(7): 877-883.
16.	Bailey SL, Grant P. ‘The tubercular diabetic’: the impact of diabetes mellitus on tuberculosis and its threat to global tuberculosis control. Clin Med(Lond), 2011, 11(4): 344-347.
17.	Liu Q, Li W, Xue M, et al. Diabetes mellitus and the risk of multidrug resistant tuberculosis: a meta-analysis. Sci Rep, 2017, 7(1): 1090.
18.	Saktiawati AMI, Subronto YW. Influence of diabetes mellitus on the development of multi drug resistant-tuberculosis in Yogyakarta. Acta Med Indones, 2018, 50(1): 11-17.
19.	全国第五次结核病流行病学抽样调查技术指导组, 全国第五次结核病流行病学抽样调查办公室. 2010 年全国第五次结核病流行病学抽样调查报告. 中国防痨杂志, 2012, 34(8): 485-508.
20.	王芸, 许琳, 邱玉冰, 等. 主动筛查方式下云南省6个偏远农村肺结核患病情况分析. 现代预防医学, 2014, 41(19): 3606-3608,3620.
21.	王倪, 周林, 白丽琼, 等. 新发涂阳肺结核患者就诊和诊断延误的影响因素研究. 中国防痨杂志, 2012, 34(12): 790-794.
22.	Ruslami R, Aarnoutse RE, Alisjahbana B, et al. Implications of the global increase of diabetes for tuberculosis control and patient care. Trop Med Int Health, 2010, 15(11): 1289-1299.
23.	齐威, 李敬新, 傅衍勇, 等. 糖尿病对肺结核患者治疗效果的影响. 中国慢性病预防与控制, 2015, 23(1): 54-56.
24.	Cheng J, Zhang H, Zhao YL, et al. Mutual impact of diabetes mellitus and tuberculosis in China. Biomed Environ Sci, 2017, 30(5): 384-389.
25.	杜昕, 黄飞, 陆伟, 等. 2010-2012年全国肺结核登记率变化趋势分析. 中国防痨杂志, 2013, 35(5): 337-342.
26.	瞿媛, 普丽, 苏丽敏, 等. 玉溪市红塔区重点人群肺结核主动筛查模式探究. 实用预防医学, 2017, 24(8): 971-973.
27.	王伟炳, 王法弟, 徐飚, 等. 经济较发达农村地区结核病慢性咳嗽线索筛查的成本. 中华流行病学杂志, 2006, 27(10): 857-860.
28.	中华人民共和国中央人民政府. 国务院办公厅关于印发全国结核病防治规划(2011—2015年)的通知. (2011-11-17) [2019-7-29]. http://www.gov.cn/zhengce/content/2011-12/06/content_6143.htm.
29.	刘二勇, 周林, 成君, 等. 健康检查与被动就诊在肺结核患者发现中的对比研究. 中国防痨杂志, 2014, 36(5): 327-330.
30.	胡嘉, 邱林西, 黄钦, 等. 贫困地区糖尿病患者中结核病检出率及其影响因素分析. 预防医学, 2016, 28(9): 913-915.
31.	齐威, 傅衍勇, 徐瑛. 糖尿病对结核病的影响. 中国慢性病预防与控制, 2013, 21(2): 238-240.
32.	熊昌富, 刘晓俊, 刘勋, 等. 采用综合措施提高肺结核传染源早期发现的研究. 公共卫生与预防医学, 2011, 22(4): 46-49.
33.	熊昌富, 周丽平, 张险峰, 等. 村医集中推荐肺结核可疑症状者检查对提高新涂阳肺结核发现率的研究. 中国防痨杂志, 2006, 28(6): 370-372.
34.	Lin Y, Li L, Mi F, et al. Screening patients with diabetes mellitus for tuberculosis in China. Trop Med Int Health, 2012, 17(10): 1302-1308.
35.	World Health Organization. WHO policy on collaborative TB/HIV activities: guidelines for national programmes and other stakeholders. Geneva: World Health Organization, 2012.
36.	彭红, 许卫国, 翟祥军, 等. 江苏农村社区一般人群胸部X线摄片主动筛查肺结核的效果评估. 中国防痨杂志, 2014, 36(12): 1029-1034.
37.	张灿有. 肺结核患者不同发现策略的成本效果研究. 北京: 中国疾病预防控制中心, 2013.
38.	成君, 张灿有, 陈卉, 等. 采取因地制宜的措施加强重点人群结核病防控. 中国防痨杂志, 2021, 43(3): 217-221.
39.	World Health Organization. Systematic screening for active tuberculosis: principles and recommendations. Geneva: Worder Health Organization, 2013.
40.	中华人民共和国国家卫生健康委员会. 国家卫生计生委关于印发《国家基本公共卫生服务规范(第三版) 》的通知. (2017-02-28)[2019-10-15]. http://www.nhc.gov.cn/jws/s3578/201703/d20c37e23e1f4c7db7b8e25f34473e1b.shtml.
41.	赵文静. 我国糖尿病患者中结核病病例主动发现策略的经济学评价研究. 济南: 山东大学, 2014.

1. Lönnroth K, Roglic G, Harries AD. Improving tuberculosis prevention and care through addressing the global diabetes epidemic: from evidence to policy and practice. Lancet Diabetes Endocrinol, 2014, 2(9): 730-739.
2. Yang W, Lu J, Weng J, et al. Prevalence of diabetes among men and women in China. N Engl J Med, 2010, 362(12): 1090-1101.
3. Jeon CY, Murray MB. Diabetes mellitus increases the risk of active tuberculosis: a systematic review of 13 observational studies. PLoS Med, 2008, 5(7): e152.
4. 邹立群, 徐爱晖. 肺结核病合并2型糖尿病患者临床特征分析. 临床肺科杂志, 2008, 5(7): e152-526.
5. Kuo MC, Lin SH, Lin CH, et al. Type 2 diabetes: an independent risk factor for tuberculosis: a nationwide population-based study. PloS One, 2013, 8(11): e78924.
6. 蔡娜. 天津市海河医院结核合并2型糖尿病病例资料流行病学分析. 中国慢性病预防与控制, 2012, 20(1): 65-67.
7. Teo ZL, Tham YC, Yu M, et al. Global prevalence of diabetic retinopathy and projection of burden through 2045: systematic review and meta-analysis. Ophthalmology, 2021, S0161-6420(21): 00321-3.
8. Lin Y, Yuan Y, Zhao X, et al. The change in blood glucose levels in tuberculosis patients before and during anti-tuberculosis treatment in China. Glob Health Action, 2017, 10(1): 1289737.
9. Saeedi P, Salpea P, Karuranga S, et al. Mortality attributable to diabetes in 20-79 years old adults, 2019 estimates: results from the international diabetes federation diabetes atlas, 9^th edition. Dibetes Res Clin Pract, 2020: 108086.
10. World Health Organization. Global tuberculosis report 2020. Geneva: World Health Organization, 2020. (2020-10-14)[2021-07-28].https://www.who.int/teams/global-tuberculosis-programme/tb-reports.
11. World Health Organization. Global tuberculosis control 2017. Geneva: World Health Organization, 2017. (2017-11-08)[2021-09-27].https://www.polity.org.za/article/global-tuberculosis-report-2017-2017-11-08.
12. Noubiap JJ, Nansseu JR, Nyaga UF, et al. Global prevalence of diabetes in active tuberculosis: a systematic review and meta-analysis of data from 2.3 million patients with tuberculosis. Lancet Glob Health, 2019, 7(4): e448-e460.
13. Restrepo BI, Fisher-Hoch SP, Pino PA, et al. Tuberculosis in poorly controlled type 2 diabetes: altered cytokine expression in peripheral white blood cells. Clin Infect Dis, 2008, 47(5): 634-641.
14. Baker MA, Harries AD, Jeon CY, et al. The impact of diabetes on tuberculosis treatment outcomes: a systematic review. BMC Med, 2011: 81.
15. Faurholt-Jepsen D, Range N, PrayGod G, et al. The role of diabetes on the clinical manifestations of pulmonary tuberculosis. Trop Med Int Health, 2012, 17(7): 877-883.
16. Bailey SL, Grant P. ‘The tubercular diabetic’: the impact of diabetes mellitus on tuberculosis and its threat to global tuberculosis control. Clin Med(Lond), 2011, 11(4): 344-347.
17. Liu Q, Li W, Xue M, et al. Diabetes mellitus and the risk of multidrug resistant tuberculosis: a meta-analysis. Sci Rep, 2017, 7(1): 1090.
18. Saktiawati AMI, Subronto YW. Influence of diabetes mellitus on the development of multi drug resistant-tuberculosis in Yogyakarta. Acta Med Indones, 2018, 50(1): 11-17.
19. 全国第五次结核病流行病学抽样调查技术指导组, 全国第五次结核病流行病学抽样调查办公室. 2010 年全国第五次结核病流行病学抽样调查报告. 中国防痨杂志, 2012, 34(8): 485-508.
20. 王芸, 许琳, 邱玉冰, 等. 主动筛查方式下云南省6个偏远农村肺结核患病情况分析. 现代预防医学, 2014, 41(19): 3606-3608,3620.
21. 王倪, 周林, 白丽琼, 等. 新发涂阳肺结核患者就诊和诊断延误的影响因素研究. 中国防痨杂志, 2012, 34(12): 790-794.
22. Ruslami R, Aarnoutse RE, Alisjahbana B, et al. Implications of the global increase of diabetes for tuberculosis control and patient care. Trop Med Int Health, 2010, 15(11): 1289-1299.
23. 齐威, 李敬新, 傅衍勇, 等. 糖尿病对肺结核患者治疗效果的影响. 中国慢性病预防与控制, 2015, 23(1): 54-56.
24. Cheng J, Zhang H, Zhao YL, et al. Mutual impact of diabetes mellitus and tuberculosis in China. Biomed Environ Sci, 2017, 30(5): 384-389.
25. 杜昕, 黄飞, 陆伟, 等. 2010-2012年全国肺结核登记率变化趋势分析. 中国防痨杂志, 2013, 35(5): 337-342.
26. 瞿媛, 普丽, 苏丽敏, 等. 玉溪市红塔区重点人群肺结核主动筛查模式探究. 实用预防医学, 2017, 24(8): 971-973.
27. 王伟炳, 王法弟, 徐飚, 等. 经济较发达农村地区结核病慢性咳嗽线索筛查的成本. 中华流行病学杂志, 2006, 27(10): 857-860.
28. 中华人民共和国中央人民政府. 国务院办公厅关于印发全国结核病防治规划(2011—2015年)的通知. (2011-11-17) [2019-7-29]. http://www.gov.cn/zhengce/content/2011-12/06/content_6143.htm.
29. 刘二勇, 周林, 成君, 等. 健康检查与被动就诊在肺结核患者发现中的对比研究. 中国防痨杂志, 2014, 36(5): 327-330.
30. 胡嘉, 邱林西, 黄钦, 等. 贫困地区糖尿病患者中结核病检出率及其影响因素分析. 预防医学, 2016, 28(9): 913-915.
31. 齐威, 傅衍勇, 徐瑛. 糖尿病对结核病的影响. 中国慢性病预防与控制, 2013, 21(2): 238-240.
32. 熊昌富, 刘晓俊, 刘勋, 等. 采用综合措施提高肺结核传染源早期发现的研究. 公共卫生与预防医学, 2011, 22(4): 46-49.
33. 熊昌富, 周丽平, 张险峰, 等. 村医集中推荐肺结核可疑症状者检查对提高新涂阳肺结核发现率的研究. 中国防痨杂志, 2006, 28(6): 370-372.
34. Lin Y, Li L, Mi F, et al. Screening patients with diabetes mellitus for tuberculosis in China. Trop Med Int Health, 2012, 17(10): 1302-1308.
35. World Health Organization. WHO policy on collaborative TB/HIV activities: guidelines for national programmes and other stakeholders. Geneva: World Health Organization, 2012.
36. 彭红, 许卫国, 翟祥军, 等. 江苏农村社区一般人群胸部X线摄片主动筛查肺结核的效果评估. 中国防痨杂志, 2014, 36(12): 1029-1034.
37. 张灿有. 肺结核患者不同发现策略的成本效果研究. 北京: 中国疾病预防控制中心, 2013.
38. 成君, 张灿有, 陈卉, 等. 采取因地制宜的措施加强重点人群结核病防控. 中国防痨杂志, 2021, 43(3): 217-221.
39. World Health Organization. Systematic screening for active tuberculosis: principles and recommendations. Geneva: Worder Health Organization, 2013.
40. 中华人民共和国国家卫生健康委员会. 国家卫生计生委关于印发《国家基本公共卫生服务规范(第三版) 》的通知. (2017-02-28)[2019-10-15]. http://www.nhc.gov.cn/jws/s3578/201703/d20c37e23e1f4c7db7b8e25f34473e1b.shtml.
41. 赵文静. 我国糖尿病患者中结核病病例主动发现策略的经济学评价研究. 济南: 山东大学, 2014.

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