上海出入境人员结核病实验室检测情况分析  

Sputum Screening Results for Tuberculosis of Entry-Exit Population at Shanghai Port

作　　者：王健[1] 方筠[1] 张琳[1] 章琪[1] 张晓航[1] 田桢干[1] 

机构地区：[1]上海国际旅行卫生保健中心,上海200335

出　　处：《中国国境卫生检疫杂志》2010年第1期15-17,共3页Chinese Journal of Frontier Health and Quarantine

基　　金：上海出入境检验检疫局科研项目:HK025-2008

摘　　要：〔目的〕了解2008年上海出入境人员结核病的实验室检测情况。〔方法〕对2008年上海口岸出入境人员检疫疾病监测过程中,胸片X射线检测怀疑活动性肺结核的患者进行痰液的抗酸染色检查、分支杆菌培养以及细菌鉴定。〔结果〕2008年1—12月上海地区出入境人员X射线检测怀疑活动性肺结核患者28人。痰涂片抗酸杆菌阳性的共5例(占17.86%),其中1～9条/100视野的3例,1～2条/300视野的2例。痰培养阳性16例,占57.14%;阴性12例,占43.86%;其中液体培养及LJ培养均为阳性9例;液体培养阴性、LJ培养阳性1例;液体培养阳性、LJ培养阴性6例。培养阳性的菌株中鉴定为结核分支杆菌复合群的为4例,占25.00%;鉴定为非结核分支杆菌(NTM)的为12例,占75.00%。经核酸测序显示NTM中,胃、堪萨斯分支杆菌2例,脓肿、龟分支杆菌8例,戈登分支杆菌1例,偶然分支杆菌1例。〔结论〕加强对出入境重点人群的结核病监测具有重要意义,同时实验室需要提高痰涂片的检出率,重视疾液培养技术,努力提高检测能力。Objective To realize the data from the sputum Screening for TB of Entry-Exit Population at Shanghai Port in 2008.Method Investigation of sputum smear screening and mycobacterium culture of Entry-Exit Population at Shanghai port who had been found some suspicion on a chest x-ray in 2008.Result In 2008,28 cases have abnormal chest x-ray result and need further testing at Shanghai Port.In which,5 cases were positive result of Z-N stain on sputum smear.15 positive MGIT tube cultures and 10 positive LJ cultures were found.There were 4 MTB complex,2M.gastri or M.kansasii,7M.abscessus or M.chelonae,1M.gordonae and 1M.fortuitum fort in sputum culture.Conclusion We must strengthen international traveler＇s blood test screening and surveillance,It is important to control transmittment of Tuberculosis by travelers.

关 键 词：结核分支杆菌 痰培养 细菌鉴定 出入境人员 上海口岸 

分 类 号：R51[医药卫生—内科学]