韩国一所私立大学医院医护人员的结核病发病率。

Incidence of tuberculosis among health care workers at a private university hospital in South Korea.

作者信息

Jo K-W, Woo J H, Hong Y, Choi C-M, Oh Y-M, Lee S D, Kim W S, Kim D S, Kim W D, Shim T S

机构信息

Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Centre, Seoul, Korea.

出版信息

Int J Tuberc Lung Dis. 2008 Apr;12(4):436-40.

DOI:

PMID:18371271

Abstract

SETTING

A private university hospital in South Korea.

OBJECTIVE

To investigate the incidence of tuberculosis (TB) among health care workers (HCWs) employed at a university hospital in South Korea.

DESIGN

The occurrence of TB cases among HCWs over a 6-year period (2001-2006) was reviewed. The prevalence of TB was compared with that of the general population using a prevalence ratio (PR) adjusted by age and sex.

RESULTS

The study involved 8433 people. TB developed in 61 HCWs (0.72%). The prevalence ratio among all HCWs was 1.05 (95%CI 0.80-1.35). In occupational subgroups, the PRs for doctors, nurses and employees in other departments were respectively 0.58 (95%CI 0.30-1.01), 1.81 (95%CI 1.21-2.59) and 0.95 (95% CI 0.58-1.46). For nurses working in TB-related departments, the relative risk of developing TB was 3.4 times higher (95%CI 1.52-8.25) than for employees in other departments (P=0.005). The PR for nurses working in TB-related department was 5.1 (95%CI 3.23-8.42).

CONCLUSION

Among HCWs, nurses working in TB-related departments were at increased risk of developing TB. This suggests that some TB develops via in-hospital infection.

摘要

背景

韩国一家私立大学医院。

目的

调查韩国一家大学医院医护人员中结核病（TB）的发病率。

设计

回顾了6年期间（2001 - 2006年）医护人员中结核病病例的发生情况。使用按年龄和性别调整的患病率比（PR）将结核病患病率与普通人群的患病率进行比较。

结果

该研究涉及8433人。61名医护人员（0.72%）患结核病。所有医护人员的患病率比为1.05（95%可信区间0.80 - 1.35）。在职业亚组中，医生、护士和其他部门员工的患病率比分别为0.58（95%可信区间0.30 - 1.01）、1.81（95%可信区间1.21 - 2.59）和0.95（95%可信区间0.58 - 1.46）。在结核病相关科室工作的护士患结核病的相对风险比其他部门员工高3.4倍（可信区间1.52 - 8.25）（P = 0.005）。在结核病相关科室工作的护士的患病率比为5.1（95%可信区间3.23 - 8.42）。