[胸部X光片用于入职前检查是否合理？基于1760个案例的法律立场和医学证据展示]
[Are chest radiographs justified in pre-employment examinations? Presentation of legal position and medical evidence based on 1760 cases].
作者信息
Ladd S C, Krause U, Ladd M E
机构信息
Institut für Diagnostische und Interventionelle Radiologie und Neuroradiologie, Universitätsklinikum Essen, Hufelandstrasse 55, 45122 Essen.
出版信息
Radiologe. 2006 Jul;46(7):567-73. doi: 10.1007/s00117-005-1241-y.
BACKGROUND
The legal and medical basis for chest radiographs as part of pre-employment examinations (PEE) at a University Hospital is evaluated. The radiographs are primarily performed to exclude infectious lung disease.
METHODS
A total of 1760 consecutive chest radiographs performed as a routine part of PEEs were reviewed retrospectively. Pathologic findings were categorized as "nonrelevant" or "relevant."
RESULTS
No positive finding with respect to tuberculosis or any other infectious disease was found; 94.8% of the chest radiographs were completely normal. Only five findings were regarded as "relevant" for the individual. No employment-relevant diagnosis occurred.
CONCLUSIONS
The performance of chest radiography as part of a PEE is most often not justified. The practice is expensive, can violate national and European law, and lacks medical justification.
背景
评估大学医院将胸部X光片作为入职前检查（PEE）一部分的法律和医学依据。进行X光片检查主要是为了排除传染性肺部疾病。
方法
回顾性分析了1760例作为PEE常规部分进行的连续胸部X光片。病理结果分为“无关”或“相关”。
结果
未发现结核病或任何其他传染病的阳性结果；94.8%的胸部X光片完全正常。只有五项结果被认为对个人“相关”。未出现与就业相关的诊断。
结论
将胸部X光检查作为PEE的一部分，多数情况下并无正当理由。这种做法成本高昂，可能违反国家和欧洲法律，且缺乏医学依据。
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