石家庄市部分学校肺结核密切接触者的患病率和结核病防治知识知晓情况  

Prevalence of Tuberculosis and Awareness of Knowledge about Tuberculosis Control among Close Contacts in some Schools in Shijiazhuang

作　　者：刘国平[1] 郭付爱[1] 赵子运[1] 王丽芳[1] 张任伟[1] 赵晖[1] 

机构地区：[1]河北省石家庄市疾病预防控制中心慢性非传染性疾病防治所,050011

出　　处：《职业与健康》2011年第12期1409-1410,共2页Occupation and Health

摘　　要：目的了解学生肺结核密切接触者的患病情况和结核病防治知识的知晓情况,为制定学校结核病控制措施提供依据。方法以学生或教师肺结核患者为线索,对其进行流行病学调查。对密切接触者进行结核病筛查,并以其他学生为对照,采用筛选的方法,首先做结核菌素试验,强阳性者再做胸部X线检查,对有症状者做痰结核菌检查和胸部X线检查,同时进行结核病防治5条核心知识知晓率调查。结果肺结核密切接触者2年内筛查出的结核患者患病率为9.95%,高于其他学生的0.46%;学生的5条核心知识知晓率比线索病人低。结论学生对结核病防治知识和政策的知晓率偏低是结核病在学校流行的主要原因,先做PPD试验、阳性者再进行胸部X线检查是控制学校结核病流行的必要措施。[Objective]To understand prevalence of tuberculosis（TB） and awareness of knowledge about TB control among students who have been in close contact with a person who has TB,provide the basis for making TB control measures in school.[Methods]The epidemiological survey was conducted among TB patients（students and teachers） who were regarded as the clue.TB screening was performed in close contacts,and other students were selected as the control group.The purified protein derivative of tuberculin（PPD） test was conducted firstly,and the students with strong positive results were given chest X-ray inspection.The students who had the TB-like symptoms were given sputum mycobacterium tuberculosis detection and chest X-ray inspection.The awareness rate of Five Core Tips about TB Control was investigated.[Results]The TB prevalence of close contacts in 2 years was 9.95%,which was higher than that of other students（0.46%）.The awareness rate of Five Core Tips about TB Control of students was lower than that of TB patients.[Conclusion]The low awareness rate of knowledge and policy about TB control of students is main reason of epidemic of TB in schools.The essential and effective measure for controlling TB in schools is the chest X-ray inspection in people with strong positive results of PPD screening.

关 键 词：结核 学校 密切接触 发病 

分 类 号：R193[医药卫生—卫生事业管理]