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目的通过对某中学一起学校聚集性结核病疫情的的调查处置,为今后制定学校结核病的防治工作策略和疫情处置措施提供参考。方法对结核病病例进行流行病学调查,描述病例的三间分布;对密切接触者进行PPD实验筛查,筛查结果强阳性者进一步胸片检查和痰抗酸杆菌检查,从而发现感染者和病例,采取相应处置措施。结果本次疫情共发现8例活动性肺结核病例,其中1例涂阳,4例涂阴,3例结核性胸膜炎;8例病例均为高一学生,分布在5个班级,8人中2例为走读生,其他6人分布在5个宿舍;本次疫情共筛查1 770名师生,其中PPD强阳性有84人,总体强阳性率为4.75%。结论加强学校结核病防治健康教育,做好学生健康状况日常监测,早期发现病人,早期治疗;规范处置聚集性病例疫情,是控制疫情蔓延重要措施。
Aim Through investigation and treatment of an epidemic of school-acquired tuberculosis in a middle school, the purpose of this study is to provide reference for the formulation of prevention and treatment strategies and epidemic disposal measures for tuberculosis in schools in the future. Methods An epidemiological investigation of tuberculosis cases was conducted to describe the three distributions of the cases. PPD experiments were conducted on close contacts, and further chest X-ray examination and sputum acid-fast bacilli examination were performed on those with strong positive screening results. , Take appropriate disposal measures. Results A total of 8 cases of active pulmonary tuberculosis were found in this epidemic. Among them, 1 was smear positive, 4 was smear negative and 3 was tuberculous pleurisy. Among the 8 cases, all were high school students in 5 classes and 2 in 8 For the students, the other 6 people were distributed in 5 dormitories. A total of 1 770 teachers and students were screened for this epidemic. 84 of them were strongly positive for PPD, with an overall strong positive rate of 4.75%. Conclusion Strengthening the prevention and treatment of tuberculosis in school health education, daily monitoring of student health, early detection of patients, early treatment; regulate the accumulation of cases of epidemic situation is an important measure to control the spread of the epidemic.