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目的通过对某中等专业学校结核病疫情进行的调查处置,为制订学校结核病的防治工作提供有效的策略,为结核病疫情的处置提供参考。方法对全校全体教师职工及学生进行X线胸片筛查,对出现病例所在班级,所在楼层的教师及学生进行X线胸片检查、PPD及结核抗体检查,对异常者进一步做痰涂片等相关检查,并做有效管控和后续的治疗;对未见异常者在其知情、自愿的基础上建议预防性服药。结果本次疫情共发现18例确诊病例,其中4例为主动就诊后确诊,14例均为筛查过程中发现的结核病患者;病例均为男生,15~18岁,其中一年级16例,二年级2例。结论学校是人群密集的特殊的场所,加强学校结核病防治教育及日常监测对早发现并及时处置疫情尤为重要。
Objective To provide an effective strategy for the prevention and control of tuberculosis in schools by investigating and disposing of tuberculosis in a secondary specialized school so as to provide reference for the treatment of tuberculosis outbreaks. Methods All the faculty staff and students in the school were screened by X-ray, X-ray examination, PPD and TB antibody examination were conducted on the teachers and students in the class where the case was located, further sputum smears were performed on the abnormalities Related inspections, and to do effective management and follow-up treatment; for those who did not see abnormalities in its informed, voluntary basis on the proposed preventive medication. Results A total of 18 confirmed cases were found in this outbreak, of which 4 were diagnosed after active treatment and 14 were found TB patients during the screening. All cases were male, aged 15 to 18 years, of whom 16 were freshmen, Grade 2 cases. Conclusion The school is a crowded and special place. Strengthening education and daily monitoring of tuberculosis prevention and control in schools is particularly important for early detection and timely disposition of epidemic.