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[中国河南省结核病防治机构工作人员结核病感染率调查]

[A survey on the infection rate of tuberculosis among employees of the antituberculosis institutions in Henan province, China].

作者信息

Wang Guo-jie, Ma Shi-wen, Zhen Xin-an, Meng Lan-tao, Xu Ji-ying, Zhang Yan-qiu, Liu Zhan-feng, Li Dong-liang

机构信息

Antituberculosis Institute, Henan Provincial Center for Disease Control and Prevention, Zhengzhou, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2007 Oct;28(10):980-3.

Abstract

OBJECTIVE

To study the situation of tuberculosis (TB) infection among the employees of the anti-TB institutions in Henan.

METHODS

Cross-sectional study was adopted the employees working in all municipal-level- anti-TB institutions and 40 anti-TB institutions at county-level selected randomly from 109 counties of the province were regarded as surveyed objects. Tuberculin skin test (TST) was used to test the infection with PPD.

RESULTS

2153 employees accepting the TST and the positive rate was 60.6%, of which the positive rate was 66.1% among healthcare workers. Among the employees and healthcare workers, the positive rates of TST adjusted by the stratum weights between municipal-level and county-level institutions were 57.3% and 62.8% respectively with Chi-square test the analysis of multivariate logistic vegression, both positive rate and strong positive rate among healthcare workers, the employees older than 30 years of age and working in municipal-level institutions were significantly higher than those among non-healthcare workers, the employees younger than 30 years old and working in county-level institutions, respectively. There were not significant differences of positive and strong positive rates between employees with and without BCG-history, or between male employees and female employees.

CONCLUSION

Program on TB infection control in anti-TB institutions of Henan were weak and the employees especiolly healthcare workers had a high vocational exposure.

摘要

目的

了解河南省结核病防治机构工作人员的结核感染情况。

方法

采用横断面研究,将全省市级结核病防治机构的工作人员以及从109个县中随机抽取的40个县级结核病防治机构的工作人员作为调查对象。采用结核菌素皮肤试验(TST)检测PPD感染情况。

结果

2153名工作人员接受了TST检测,阳性率为60.6%,其中医护人员阳性率为66.1%。在工作人员和医护人员中,经分层权重调整后的市级和县级机构TST阳性率分别为57.3%和62.8%。经多因素logistic回归分析,医护人员、年龄大于30岁且在市级机构工作的工作人员的阳性率和强阳性率均显著高于非医护人员、年龄小于30岁且在县级机构工作的工作人员。有卡介苗接种史和无卡介苗接种史的工作人员之间,以及男性工作人员和女性工作人员之间的阳性率和强阳性率无显著差异。

结论

河南省结核病防治机构的结核感染控制工作薄弱,工作人员尤其是医护人员职业暴露风险高。

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