淮安市高校学生肺结核密切接触者筛查结果分析

发布时间：2019-01-26 17:42

【摘要】：目的了解淮安市高校学生肺结核密切接触者筛查情况,为高校结核病防控工作提供依据。方法对2013—2015年淮安市高校学生肺结核密切接触者进行肺结核可疑症状调查、结核菌素(PPD)试验、X线胸片和结核分枝杆菌检查。结果 2013—2015年淮安市登记高校学生肺结核密切接触者682例,密切接触者肺结核可疑症状筛查率为100%,PPD筛查率为97.21%(663/682),X线胸片筛查率为70.23%(479/682);涂阳肺结核密切接触者PPD强阳性率及X线胸片异常率(30.1%,3.5%)均高于涂阴肺结核密切接触者(16.6%,0.6%)(χ~2值分别为14.570,4.087,P值均0.05);筛查发现的6例涂阴肺结核患者均由定点医院收治,但其他符合预防性服药条件的密切接触者无人接受预防性治疗。结论学校出现结核病疫情时,应及时规范开展密切接触者筛查工作,减少疫情的播散,同时应有效落实预防性服药,减少感染者发病风险。
[Abstract]:Objective to investigate the screening of close contacts of tuberculosis among college students in Huai'an, and to provide evidence for tuberculosis prevention and control in colleges and universities. Methods the suspected symptoms of pulmonary tuberculosis, (PPD) test of tuberculin, chest X-ray and Mycobacterium tuberculosis were investigated among students close contact with pulmonary tuberculosis in Huaian city from 2013 to 2015. Results from 2013 to 2015, 682 college students were in close contact with pulmonary tuberculosis in Huai'an city, and the screening rate of suspected symptoms was 97.21% (663 / 682). The screening rate of chest X-ray was 70.23% (479 / 682). The strong positive rate of PPD and the abnormal rate of chest X-ray (30.1%) in patients with close contact with smear positive pulmonary tuberculosis (30.1%) were higher than those in patients with close contact with negative pulmonary tuberculosis (16.6%) (蠂 ~ 2 = 14.5704.087, respectively). P value was 0.05); All 6 cases of smear pulmonary tuberculosis were treated in designated hospitals, but none of the other close contacts who met the condition of preventive medication received prophylactic treatment. Conclusion when there is tuberculosis epidemic situation in school, we should carry out close contact screening work in time, reduce the spread of epidemic situation, at the same time, we should effectively implement prophylactic medication to reduce the risk of infection.
【作者单位】：江苏省淮安市疾病预防控制中心;
【分类号】：R521

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