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[医护人员患结核病的风险:风险评估与医学监测]

[Risk of tuberculosis in healthcare workers: risk assessment and medical surveillance].

作者信息

Magrini Andrea, Coppeta Luca, Somma Giuseppina, Neri Anna, Gentili Sandro, Fiocco Giovanni, Pietroiusti Antonio

机构信息

Dipartimento di Biomedicina e Prevenzione, Università degli Studi di Roma Tor Vergata, Italia.

Dipartimento di Medicina dei Sistemi, Università degli Studi di Roma Tor Vergata, Italia.

出版信息

Ig Sanita Pubbl. 2016 Mar-Apr;72(2):137-43.

PMID:27336958
Abstract

Tuberculosis screening is recommended for all health care workers. We evaluated the prevalence of latent tuberculosis infection among 939 hospital workers of Tor Vergata University teaching hospital in Rome, Italy, in the period 2007-2013, by using the QuantiFERON Gold In-Tube (QFT) test. The mean age of subjects tested was 31 years. The prevalence of positive subjects (cut-off 0.35 UI/ml) was 5.5% (46/939) and the mean age of those who tested positive was 39 years. The low rate of positivity may be partly related to the higher reliability of QFT in comparison to tuberculin skin testing.

摘要

建议对所有医护人员进行结核病筛查。我们于2007年至2013年期间,在意大利罗马的托雷维加塔大学教学医院,对939名医院工作人员使用全血γ干扰素释放试验(QFT)检测,评估潜伏性结核感染的患病率。接受检测的受试者平均年龄为31岁。阳性受试者(临界值为0.35 UI/ml)的患病率为5.5%(46/939),检测呈阳性者的平均年龄为39岁。阳性率较低可能部分与QFT相比结核菌素皮肤试验具有更高的可靠性有关。

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引用本文的文献

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Risk of latent tuberculosis infection among healthcare workers in Italy: a retrospective study with Quantiferon Test.意大利医护人员潜伏性结核感染的风险:一项使用 Quantiferon 试验的回顾性研究。
J Prev Med Hyg. 2021 Sep 15;62(3):E759-E762. doi: 10.15167/2421-4248/jpmh2021.62.3.1471. eCollection 2021 Sep.
2
Cost-Effectiveness of Annual Screening for Tuberculosis among Italian Healthcare Workers: A Retrospective Study.意大利医护人员结核病年度筛查的成本效益:一项回顾性研究。
Int J Environ Res Public Health. 2020 Mar 5;17(5):1697. doi: 10.3390/ijerph17051697.
3
Risk of Occupational Latent Tuberculosis Infection among Health Personnel Measured by Interferon-Gamma Release Assays in Low Incidence Countries-A Systematic Review and Meta-Analysis.
低发病国家应用干扰素-γ释放试验测量的卫生保健人员职业潜伏性结核感染风险:系统评价和荟萃分析。
Int J Environ Res Public Health. 2020 Jan 16;17(2):581. doi: 10.3390/ijerph17020581.
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Prevalence and Risk Factors for Latent Tuberculosis Infection among Healthcare Workers in a Low Incidence Country.低发病率国家医护人员中潜伏性结核感染的患病率及危险因素
Open Respir Med J. 2019 Apr 30;13:1-4. doi: 10.2174/1874306401913010001. eCollection 2019.