【摘要】：目的了解學(xué)校發(fā)生結(jié)核病聚集性疫情的危險(xiǎn)因素,為學(xué)校結(jié)核病防控提供科學(xué)依據(jù)。方法采取病例對照研究方法,以紹興市2011—2015年9所發(fā)生結(jié)核病聚集性疫情的學(xué)校作為病例組,37所發(fā)生單個病例但未發(fā)生聚集性疫情的學(xué)校作為對照組,分析造成聚集性疫情發(fā)生的影響因素。結(jié)果病例組首例病例發(fā)病至首次報(bào)告時(shí)間為(80.89±76.82)d,對照組為(28.29±24.32)d(t=3.58,P=0.01);病例組首例病例發(fā)病至報(bào)告疾病預(yù)防控制中心時(shí)間為(81.11±76.69)d,對照組為(27.81±24.28)d(t=3.64,P=0.01);病例組首例病例發(fā)病至開展調(diào)查時(shí)間為(82.00±76.88)d,對照組為(30.37±24.88)d(t=3.49,P=0.01)。兩組學(xué)校在落實(shí)晨檢制度、缺課登記制度、原因追查制度、學(xué)生復(fù)課制度、傳染病應(yīng)急預(yù)案、傳染病報(bào)告制度等方面報(bào)告率差異均無統(tǒng)計(jì)學(xué)意義(P值均0.05)。病例組在入學(xué)體檢、PPD篩查、校醫(yī)、專職校醫(yī)、校醫(yī)傳染病防治培訓(xùn)等方面與對照組之間差異均無統(tǒng)計(jì)學(xué)意義(P值均0.05)。兩組學(xué)校在傳染病防治健康教育各種宣傳方式上差異均無統(tǒng)計(jì)學(xué)意義(P值均0.05)。結(jié)論診斷和報(bào)告延誤是學(xué)校結(jié)核病聚集性疫情暴發(fā)的重要因素,應(yīng)加強(qiáng)病人的早發(fā)現(xiàn)和早報(bào)告工作,防止疫情的擴(kuò)散。
[Abstract]:Objective to investigate the risk factors of tuberculosis aggregation in schools and provide scientific basis for tuberculosis prevention and control in schools. Methods A case-control study was carried out in 9 schools of Shaoxing City from 2011 to 2015, and 37 schools with a single case but no aggregated epidemic were used as the control group. The factors influencing the occurrence of agglomeration were analyzed. Results the time from the first case to the first report was (80.89 鹵76.82) days in the case group and (28.29 鹵24.32) d (/ t 3.58) d () in the control group, and the time from the first case to the center of disease prevention and control in the case group was (81.11 鹵76.69) days, and that from the control group was (27.81 鹵24.28) d (/ t 3.64P0.01) to (82.00 鹵76.88) days, and that from the control group to (30.37 鹵24.88) d (/ t 3.49-P0.01). There was no significant difference in the reporting rate between the two groups in carrying out the morning check system, absence registration system, cause tracing system, student resumption system, infectious disease emergency plan, infectious disease reporting system and so on (P all 0.05). There was no significant difference between the case group and the control group in the aspects of entrance examination, PPD screening, school doctor, full-time school doctor, training in the prevention and treatment of infectious diseases between the school doctors and the control group (P < 0. 05). There was no significant difference between the two groups in the publicity methods of infectious disease prevention and health education (P < 0.05). Conclusion the delay in diagnosis and reporting is an important factor in the outbreak of concentrated tuberculosis in schools. The early detection and early reporting of patients should be strengthened to prevent the spread of the epidemic.
【作者單位】： 浙江省紹興市疾病預(yù)防控制中心;
【基金】：紹興市公益性技術(shù)應(yīng)用研究計(jì)劃項(xiàng)目(2013B70068)
【分類號】：R52

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