Al-Khal Abdul Latif, Bener Abdulbari, Enarson Donald A
Department of Medicine, Infectious Diseases, Rumailah Hospital, Doha, State of Qatar.
Arch Environ Occup Health. 2005 Nov-Dec;60(6):295-8. doi: 10.3200/AEOH.60.6.295-298.
Tuberculosis (TB) continues to be a leading infectious cause of death worldwide, and it remains a serious public health problem in developing countries. To determine the prevalence of tuberculosis infection among garment workers, the authors conducted a retrospective prevalence survey of employees working in garment factories in Qatar from January 2000 to June 2003. A mass screening of garment factory workers was carried out by chest X-ray and Mantoux skin test at the Rumailah Hospital, Hamad Medical Corporation. The authors considered those workers with a purified protein derivative (tuberculin) reaction of > or = 15 mm to be infected with TB, or to have a latent TB infection. Workers with active TB diseases were confirmed by histopathological and mycobacteriological examinations. The authors studied a total of 2,774 garment factory workers, and they found 43% of them to be infected (reaction > or = 15 mm). The mean age of the infected subjects was significantly higher than that of the noninfected subjects (p < .001); 53% of the infected subjects were between 30 and 40 years of age. Indians and Pakistanis made up the most frequent nationalities among the infected subjects (50.0%), followed by Nepalis (44.1%). The prevalence rate of tuberculosis infection in garment workers was high. Overcrowding in factories and residential facilities increases the risk of TB transmission.
结核病仍然是全球主要的感染性致死病因，在发展中国家依然是一个严重的公共卫生问题。为了确定服装工人中结核病感染的流行情况，作者对2000年1月至2003年6月在卡塔尔服装厂工作的员工进行了一项回顾性患病率调查。在哈马德医疗公司的鲁迈拉医院，通过胸部X光和结核菌素皮肤试验对服装厂工人进行了大规模筛查。作者将那些纯化蛋白衍生物（结核菌素）反应≥15毫米的工人视为感染了结核病或患有潜伏性结核感染。活动性结核病患者通过组织病理学和分枝杆菌学检查确诊。作者共研究了2774名服装厂工人，发现其中43%的人受到感染（反应≥15毫米）。受感染受试者的平均年龄显著高于未受感染受试者（p<0.001）；53%的受感染受试者年龄在30至40岁之间。印度人和巴基斯坦人是受感染受试者中最常见的国籍（50.0%），其次是尼泊尔人（44.1%）。服装工人中结核病感染的患病率很高。工厂和居住设施过度拥挤会增加结核病传播的风险。
