一起高校學(xué)生肺結(jié)核疫情的調(diào)查分析
發(fā)布時(shí)間:2018-03-02 10:42
本文關(guān)鍵詞: 結(jié)核病 學(xué)生 疫情 PPD檢測 痰結(jié)核菌檢測 出處:《中國衛(wèi)生檢驗(yàn)雜志》2014年03期 論文類型:期刊論文
【摘要】:目的對一起在高校學(xué)生中發(fā)生的肺結(jié)核疫情進(jìn)行調(diào)查分析。方法對患病學(xué)生的140名密切接觸者進(jìn)行了流行病學(xué)調(diào)查、結(jié)核菌素試驗(yàn)、胸片X-線檢查和痰結(jié)核菌等病原學(xué)檢查。結(jié)果在首發(fā)病例班級及同寢室學(xué)生中又篩查出3例肺結(jié)核患者,使得此次疫情發(fā)病人數(shù)達(dá)到了6人,致使該班罹患率達(dá)到17.1%(6/35);在140名密切接觸者中進(jìn)行結(jié)核菌素試驗(yàn),單純PPD強(qiáng)陽性者(硬結(jié)平均直徑≥15 mm,或有水泡、潰破)為78人,強(qiáng)陽性率達(dá)到55.7%(78/140)。結(jié)論本次高校學(xué)生中發(fā)生的肺結(jié)核疫情是由于綜合性醫(yī)院對首發(fā)患病學(xué)生未能及時(shí)明確診斷和有效隔離,導(dǎo)致傳染源長期暴露在聚集性人群中,以及學(xué)生寢室通風(fēng)不良和課業(yè)繁重休息不好等綜合因素所引起的。
[Abstract]:Objective to investigate and analyze an epidemic situation of pulmonary tuberculosis among college students. Methods the epidemiological investigation was carried out in 140 close contacts of students with the disease, and the tuberculin test was performed. Chest X-ray examination, sputum tuberculosis and other etiology tests. Results three more tuberculosis patients were screened in the first case class and students in the same dormitory, bringing the number of cases to six. As a result, the attack rate of the class reached 17.1g / 35; the TB test was performed among 140 close contacts, 78 of whom were only strongly positive for PPD (the mean diameter of scleroma was 鈮,
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