摘要
目的分析徐州市学校结核病聚集性疫情发生及处置措施的落实现状,为今后学校结核病防控工作提供参考依据。方法收集徐州市2017—2019年发生的学校结核病聚集性疫情资料,分析疫情检测、接触者筛查等处置措施的落实情况。结果 12起学校结核病聚集性疫情均发生在寄宿性学校(10所),包括3所中学,7所大学,确诊学生病例53例,指示病例12例,接触者筛查检出患者28例。密切接触者与一般接触者的PPD强阳性检出率无显著差异(P=0.425)。12例指示病例中,5例病原学阳性患者,5例病原学阴性患者,2例结核性胸膜炎患者;8例因症就诊发现,4例因健康体检发现。结论学校结核病疫情时有发生,加强学校结核病日常防控、落实学校结核病疫情处置,可有效控制学校结核病疫情的发生及蔓延。
Objective To analyze the implementation status of the occurrence and treatment measures of school tuberculosis cluster epidemic situation in Xuzhou city,so as to provide reference for the prevention and control work of school tuberculosis in the future.Methods The data of school tuberculosis cluster epidemic situation in Xuzhou city from 2017 to 2019 were collected,and the implementation of treatment measures such as epidemic detection and contact screening were analyzed.Results The 12 clusters of school tuberculosis cluster epidemic situation occurred in boarding schools(10 schools),including 3 middle schools and 7 universities.There were 53 confirmed student cases,12 indicated cases,and 28 cases were detected by contact screening.There was no significant difference in the detection rate of PPD strong positive between close contacts and general contacts(P=0.425).Among the 12 indicated cases,5 cases were pathogen-positive patients,5 cases were pathogen-negative patients,and 2 cases were tuberculous pleurisy patients;8 cases were found due to seeing a doctor for symptoms,and 4 cases were found due to health examination.Conclusion School tuberculosis epidemic occur from time to time.Strengthening the daily prevention and control and implementing school tuberculosis epidemic management can effectively control the occurrence and spread of school tuberculosis epidemic situation.
作者
张海清
佟飞
李莉
ZHANG Haiqing;TONG Fei;LI Li(Xuzhou City Center for Disease Control Prevention,Xuzhou 221006,China)
出处
《临床医学研究与实践》
2020年第34期37-38,共2页
Clinical Research and Practice
关键词
结核病
学校
聚集性疫情
tuberculosis
school
cluster epidemic situation
