Shishido S, Mori T
Department of Respiratory Disease, National Sanatorium Matsue Hospital, Simane, Japan.
Kekkaku. 1999 Apr;74(4):405-11.
The present study aimed to assess the status of preventive measures for nosocomial tuberculosis infection and the incidence of tuberculosis among hospital workers in Japan. Data were collected using two types of questionnaires submitted to 333 hospitals with tuberculosis beds and 247 hospitals without tuberculosis beds. The incidence of tuberculosis among hospital workers was assessed for the period from 1992 to 1996. Handling of the tuberculin test and BCG vaccination at the time of employment was inadequate. Environmental management of the workplace in laboratories and tuberculosis wards was also in adequent. Regarding the incidence of tuberculosis among hospital workers, nurses at hospitals with tuberculosis beds had the highest incidence especially those in their twenties to thirties. Considering these findings, improvement of the prevention of tuberculosis infection in hospitals is important.
本研究旨在评估日本医院内预防结核感染措施的实施状况以及医院工作人员中结核病的发病率。通过向333家设有结核病床位的医院和247家没有结核病床位的医院发放两种调查问卷来收集数据。评估了1992年至1996年期间医院工作人员中结核病的发病率。就业时结核菌素试验和卡介苗接种的操作不充分。实验室和结核病病房工作场所的环境管理也不充分。关于医院工作人员中的结核病发病率，设有结核病床位医院的护士发病率最高，尤其是二三十岁的护士。考虑到这些发现，改善医院内结核感染的预防工作很重要。
