北京市昌平区76654名公共卫生从业人员传染病检出现状  

Infectious diseases among 76654 public practitioners in Changping District of Peijing

作　　者：李淑波[1] 徐志鑫[1] 耿坤[1] 庞武元[1] 刘建军[1] 莫慧荣[1] 姚媛[1] 

机构地区：[1]北京市昌平区疾病预防控制中心,北京102200

出　　处：《中国感染控制杂志》2010年第6期405-407,413,共4页Chinese Journal of Infection Control

摘　　要：目的了解北京市昌平区公共卫生从业人员传染病感染现况。方法采用北京市公共卫生信息管理系统对昌平区2009年1-12月公共卫生从业人员健康体检结果进行统计分析。结果共调查76 654名从业人员,乙型肝炎表面抗原(HBsAg)阳性率为1.83%,其中食品与公共场所从业人员分别为1.51%(920/61 032)、3.09%(482/15 622);本地与外埠从业人员HBsAg检出率分别为0.74%(139/18 749)、2.18%(1 263/57 905);男、女性从业人员HBsAg检出率分别为2.25%(729/32 397)、1.52%(673/44 257);上述HBsAg阳性率组内比较,差异均有显著性(均P<0.01)。活动性肺结核检出率为0.12%,其中本地与外埠从业人员检出率分别为0.05%(9/18 749)、0.15%(86/57 905),两者比较,差异有显著性(P<0.01)。丙型肝炎抗体阳性率为0.02%,戊型肝炎抗体阳性率为0.01%;化脓性或渗出性皮肤病检出率为0.03%;未检出伤寒/痢疾。结论在所监测的传染病中,HBsAg携带检出率居首位,肺结核、化脓性及渗出性皮肤病等检出率较低。对公共卫生从业人员应坚持每年1次的健康体检,加强对外埠从业人员的管理,开展疫苗接种工作。Objective To investigate status of infectious diseases among public practitioners in Changping District of Peijing. Methods Public health information management system was adopted to analyze statistically on physical examination results of public practitioners in Changping District of Beijing in 2009. Results Among 76 654 practitioners, the positive rate of HBsAg was 1.83%, employees in food and public places was 1.51% （920/61 032） and 3. 09%（482/15 622） respectively; local employees and employees from the other towns was 0. 74%（139/18 749） and 2. 18% （1 263/57 905） respectively; male and female was 2. 25%（729/32 397） and 1.52%（673/44 257） respectively; The difference in each group was statistically significant（both P〈0. 01）. The detection rate of active pulmonary tuberculosis was 0. 12%, local employees and employees from the other towns was 0. 05% （9/18 749） and 0. 15%（86/57 905） respectively, the difference was statistically significant（P〈0. 01）. HCV and HEV antibody positive rate was 0. 02% and 0. 01% respectively; Suppurative or exudative skin diseases detection rate was 0. 03%; typhoid/dysentery was not found. Conclusion Among all monitored infectious diseases ,the detection rate of HBsAg was the highest, the detection rate of pulmonary tuberculosis, purulent and exudative skin diseases were relatively low. Public practitioners should adhere to annual physical examination , the management of practitioners from the other towns should be intensified and receive vaccination.

关 键 词：公共卫生 传染病 流行病学调查 乙型肝炎 肺结核 

分 类 号：R183[医药卫生—流行病学]