贵港市区中小学生结核菌感染及发病状况分析  

Survey of Mycobacterium tuberculosis infection in pupils and middle school students in Guigang City

作　　者：郑小莉[1] 韦金凤[1] 覃冰冰[1] 付立卫[1] 苏景庭[1] 

机构地区：[1]贵港市疾病预防控制中心,广西贵港537100

出　　处：《中国热带医学》2011年第12期1471-1472,共2页China Tropical Medicine

摘　　要：目的了解贵港市中学生结核菌感染及肺结核患病情况。为做好学生结核病防治工作提供依据。方法对贵港市区11所中小学的11 204名新生进行结核菌素(PPD)试验,并对硬结直径/20mm或有水泡者进行X线摄片检查,对胸片异常者做痰抗酸杆菌涂片检查。结果 PPD试验阴性率为57.11%,阳性率为37.58%,强阳性率为5.30%。发现活动性肺结核18例,占0.16%,患病率为160.66/10万,其中涂阳3例,占0.03%,涂阳患病率为26.78/10万。结论贵港市中小学生PPD阳性率、强阳性率较高,中学生肺结核患病率也较高,应及时采取相应措施,防止结核病在校园内传播。Objective To understand the status of Mycobaterium tuberculosis infection in primary and middle schools of Guifang City and provide evidence for tuberculosis control in school students.Methods The 11 204 stiddents in 11 primary and middle schools of Guigang City were examined with PPD test and those with scleroma diameter of 20mm or with blister were further examined with chest X-ray.Sputum smear test was accomplished in those with abnormal chest X-ray pictures for detection of Mycobacterium tuberculosis.Results The positive rate of PPD test was 57.11% with a positive rate of 37.58% and a strong positive rate of 5.30%.Eighteen active tuberculosis cases were detected occupied 0.16% with an incidence of 160.66/100 000.There were three smear positives acounted for 0.03% and a smear positive rate of 26.78/100 000.Conclusion The positive rates of PPD test,strong positive rate and incidence of tuberculosis were relatively high,thus adequate meaures be asopted to control the spread of tuberculosis in schools.

关 键 词：结核 患病率 结核菌素 学生 

分 类 号：R521[医药卫生—内科学]