一起学校肺结核病集聚疫情分析  

A tuberculosis cluster case analysis in school

作　　者：何立新[1] 朱建良[1] 王翠凤 李亚楠[1] 郭付爱[1] 

机构地区：[1]石家庄市疾病预防控制中心,河北050011 [2]平山县疾病预防控制中心

出　　处：《医学动物防制》2015年第8期857-858,869,共3页Journal of Medical Pest Control

摘　　要：目的对一起学校结核病集聚疫情发生的影响因素进行分析,为制定有效防控策略提供科学依据。方法通过对线索患者的诊治过程进行调查,制定流调方案,对密切接触者进行PPD试验,对PPD强阳性、未做PPD、未看PPD结果的学生拍摄胸部X光片。结果对全年级1 521名师生进行了结核病症状筛查,共有1 491名师生做了PPD试验,其中强阳性反应149人,发现肺结核患者25例,线索患者所在班发病人数最多,为10例,占发病人数的40%;线索患者所在宿舍发病人数最多,为3例,占发病人数的12%。结论应加强学校结核病防治知识的健康教育,提高学生对结核病知识的知晓率,落实晨检和请销假制度,及时发现、隔离、规范治疗肺结核患者是减少聚集性肺结核疫情发生的有效手段。Objective The influence factors of a tuberculosis cluster case in school were analyzed, to provide scientific basis for effective formulating prevention and control measures. Methods By investigation of diagnosis and treatment for clues, PPD test was carried out on the close contacts, the students with positive PPD, did not make PPD have to chest X - ray. Results To conduct tuberculosis symptom screening for 1521 teachers and students, totally 1491 students and teachers have received a PPD skin test, 149 strong positive reaction, 25 patients with pulmonary tuberculosis were found. The result of patient survey clues show that largest number of cases is 10 people in a class, accounting for 40% of the number of onset; the clues show that the largest number is 3 in a dormitory, accounting for 12% of the disease. Conclusions School health education of tuberculosis prevention knowledge should be strengthened, and students＇awareness of TB knowledge be raised. To carry out the morning check and vacation system, timely detection, isolation, standardized treatment of tuberculosis are effective means to decrease the aggregation epidemic of tuberculosis.

关 键 词：结核 集聚疫情 学生 

分 类 号：R521[医药卫生—内科学]