江苏某校藏族班级肺结核疫情流行病学调查  

Epidemiologic survey on an outbreak of tuberculosis in a school in Jiangsu

作　　者：丁松宁[1] 孙照平[1] 李晨[1] 聂建强[1] 刘荣[1] 刘夏[1] 季伟 

机构地区：[1]南京市疾病预防控制中心慢性传染病防制科,江苏南京210004 [2]南京市秦淮区疾病预防控制中心,江苏南京210029

出　　处：《现代预防医学》2014年第7期1164-1166,1169,共4页Modern Preventive Medicine

摘　　要：目的对某校藏族班级结核病疫情开展调查处理,为控制疫情传播提供有效措施。方法对藏族班级师生进行胸部X线检查、PPD试验,开展流行病学调查工作,描述发病分布,查找传染源,利用SPSS16.0统计软件进行数据分析。结果 2010年12月1日至2011年5月11日,该校共发现9例肺结核病例(1例涂阳,8例涂阴),均为2010级西藏班学生,西藏班肺结核的罹患率为10.34%。其中,男性罹患率(11.94%)高于女性(5.00%)。不同PPD反应人群中肺结核发病情况有差异。结论本次疫情为一起学校结核病疫情,传染源很可能为首发病例。开展学校结核病防治健康教育是今后工作的重点,同时要注意民族差异,积极倡导健康行为,以便有效控制学校结核病疫情。Objective In order to analyze the reasons of the TB outbreak in the school and to provide the availably measures of preventing TB in schools. Methods Carried out chest X-ray and PPD for all students and teachers of the Tibet classes. Described the epidemical distribution by epidemiologie investigation and found out the source of infection. Used SPSS16.0 statistical software for data analysis. Results From Dec. 2010 to May 2011, there were detected 9 TB cases （1 sputum smear positive case, 8 sputum smear negative cases）, all patients were the students of 2010 in Tibetan Class, and the attack rate was 10.34%. The attack rate in males was 11.94% and the attack rate in females was 5.00%. The incidence rate had significantly differences between different PPD results. Conclusion This is a TB epidemic situation in schools and the first case is likely to be the infectious source. In order to control the epidemic of the students＇ tuberculosis effectively, health education should be carried on through in schools, and it should pay attention to nationality difference, advocating health behavior need to put into practice at the same time.

关 键 词：学校 藏族 肺结核 流行病学调查 

分 类 号：R183[医药卫生—流行病学]