天津市中高等院校结核病防控工作现状

发布时间：2018-01-17 03:23

  本文关键词：天津市中高等院校结核病防控工作现状　出处：《中国学校卫生》2017年04期 　论文类型：期刊论文

  更多相关文章： 结核 肺 公共卫生 学生保健服务

【摘要】：目的了解天津市中高等院校结核病防控工作能力及工作现状,为进一步完善学校结核病防控策略提供参考。方法自行设计问卷,对市教委管辖的中、高等院校开展结核病防控工作现况进行问卷调查,对资料采用χ~2检验或Fisher确切概率法进行分析。结果接受调查的152所院校均建立了结核病防控工作领导责任制。93.42%(142/152)的院校配备有卫生保健机构(含卫生室、保健室、校医院等)和卫生保健人员,在校生人数与专职卫生保健人员配备比为1 430∶1。专职卫生保健人员中专科学历占50.36%(207/411),有医学背景及执业医师资格的卫生人员比例分别为79.32%和57.66%。各院校日常结核病防控措施落实整体较好,但仍有近20%的院校不能开展学生因病缺勤追踪;12.5%的院校不能落实新生入学体检,27.63%的院校不能落实在校生体检,且各类院校之间开展体检比例(新生入学、在校生)差异均有统计学意义(P值均0.05),高等院校在校生体检工作开展比例最低(25.0%)。有超过10%的院校在出现结核病例后不能及时开展密切接触者筛查,各类院校间差异无统计学意义(P0.05);落实因结核病休/复学管理制度的院校比例为77.97%,且各类院校间差异有统计学意义(χ~2=6.71,P0.05),其中以高中学校明显偏低,仅为55.56%。结论天津市中、高等院校的结核病防控工作整体开展情况较好,但仍应继续加强卫生保健人员队伍建设和加强各项防控措施的落实,以确保学校结核病疫情的平稳。
[Abstract]:Objective to understand the ability and current situation of tuberculosis prevention and control in middle colleges and universities in Tianjin, and to provide a reference for further improvement of tuberculosis prevention and control strategy in schools. Methods A questionnaire was designed by ourselves and applied to the middle schools under the jurisdiction of the Municipal Education Commission. The present situation of tuberculosis prevention and control in colleges and universities was investigated by questionnaire. The data were analyzed by 蠂 ~ 2 test or Fisher exact probability method. Results all the 152 colleges and universities surveyed established the leadership responsibility system for tuberculosis prevention and control. (. Schools in 142-in-152are equipped with health care facilities (including clinics). Health rooms, school hospitals, etc.) and health care personnel. The ratio of the number of students in school to the number of full-time health care personnel is 1 430: 1.The proportion of the total number of full-time health care personnel is 50.36% or 20.7% 411). The proportion of health personnel with medical background and medical qualification were 79.32% and 57.66 respectively. The measures of daily TB prevention and control in colleges and universities were better as a whole. But there are still nearly 20% colleges and universities can not carry out student absence due to illness tracking; In 12.5% colleges and universities, 27.63% of them could not carry out the physical examination of freshmen, and the proportion of medical examination was carried out among all kinds of colleges (freshmen enrolled). The differences were statistically significant (P = 0.05). There are more than 10% colleges and universities can not carry out close contact screening in time after the occurrence of tuberculosis cases. There was no significant difference between different colleges and universities (P 0.05). The proportion of colleges and universities carrying out the management system of rest / re-education due to tuberculosis was 77.97, and the difference among different schools was statistically significant (蠂 ~ 2 / 6.71 / P 0.05), among which the high school was obviously low. Conclusion in Tianjin, the TB prevention and control work in colleges and universities is in good condition, but we should continue to strengthen the construction of health care personnel and the implementation of various preventive and control measures. To ensure a stable TB epidemic in schools.
【作者单位】： 天津市结核病控制中心;
【分类号】：R52;R183
【正文快照】： 据不完全统计,全国每年报告的传染病公共卫生事件中85.64%发生在学校,其中呼吸道传染病占91.09%[1]。学校作为学生学习、生活的重要场所,人员密集度高,是许多疾病特别是空气源性传染病的高发场所[2]。结核病为慢性呼吸道传染病,近年来学校聚集性疫情时有发生[3-5]。为了解天津

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