Raitio M, Helenius H, Tala E
Department of Chest Diseases, Turku University Central Hospital, University of Turku, Finland.
Int J Tuberc Lung Dis. 2003 Jun;7(6):556-62.
Health care workers in Finland.
Occupational tuberculosis (TB) was studied separately in nurses, assistant nurses, physicians, psychiatric nurses, medical laboratory workers and radiographers during the period 1971-1995.
All 447 notified cases between 20 and 59 years of age were included. Incidence ratios by age and occupation were compared to the corresponding general population.
A common profile, with a higher rate of TB towards older age, was seen in the general population but not among health care workers. Among nurses, assistant nurses and physicians, the incidence ratio was higher among those aged 20-39 than among those aged 40-59 years. Compared to the controls, the risk of TB was significantly smaller in the older group of nurses during 1971-1990 and in assistant nurses during 1971-1995. The risk among the older group of physicians was significantly lower during 1971-1980, and among the younger group it was significantly higher during 1976-1990.
We speculate that in certain fields of health care, young workers are at the greatest risk of TB.
芬兰的医护人员。
对1971年至1995年间护士、助理护士、医生、精神科护士、医学检验人员和放射技师中的职业性肺结核（TB）进行单独研究。
纳入所有447例年龄在20至59岁之间的已报告病例。将年龄和职业的发病率与相应的普通人群进行比较。
普通人群中呈现出随着年龄增长结核病发病率更高的共同特征，但医护人员中并非如此。在护士、助理护士和医生中，20至39岁人群的发病率高于40至59岁人群。与对照组相比，1971年至1990年间年龄较大的护士组以及1971年至1995年间助理护士组患结核病的风险显著较小。1971年至1980年间年龄较大的医生组风险显著较低，而1976年至1990年间年龄较小的医生组风险显著较高。
我们推测在某些医疗保健领域，年轻工作人员患结核病的风险最大。
