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目的掌握宝山区外来简易学校学生结核菌素反应现状,为上级主管部门制定在这一特殊人群中开展肺结核病防治工作的政策措施提供科学依据。方法对宝山区4所外来简易学校5 037名学生进行年龄、性别、户籍、来沪年限、卡介苗接种情况、卡痕、结核病接触史、人型-PPD试验、胸片、痰找结核菌整群抽样调查。结果儿童卡介苗接种率65.3%,有卡痕率55.1%,结核病接触史率2.8%。PPD试验阴性率71.6%、阳性率28.4%,(其中强阳性6.5%,异影摄胸片1.1%,需门诊随访3例,确诊为肺结核病1例)。结论对外来简易学校学生结核病防控工作需要加强。
Objective To understand the current status of tuberculinin reaction in non-native simple schools in Baoshan District and provide scientific basis for the higher authorities to formulate policies and measures to prevent and control tuberculosis in this special population. Methods A total of 5 037 students from 4 schools in Baoshan District were enrolled in this study. Their age, sex, domicile, age of arrival in Shanghai, BCG vaccination, card marks, contact history of TB, human-PPD test, chest X-ray and sputum Sample survey Results The rate of BCG vaccination in children was 65.3%, with a detective rate of 55.1% and a history of 2.8% of TB exposure. The negative rate of PPD test was 71.6%, the positive rate was 28.4%. (Among them, the positive rate was 6.5% and the rate was 1.1%. The patients were followed up for 3 times and diagnosed as pulmonary tuberculosis in 1 case). Conclusion The prevention and control of tuberculosis among students from simple foreign schools need to be strengthened.