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[一家校外私人辅导机构内的结核病群体感染]

[Group infection of tuberculosis in a private extra-school tutoring institute].

作者信息

Yamagishi F, Muraki M, Suzuki K, Itoh T, Hayashi A, Tougoh N, Ihara S, Shimura A

出版信息

Kekkaku. 1989 Oct;64(10):599-604.

PMID:2810997
Abstract
  1. Two students of different high-schools were found to have pulmonary tuberculosis by school medical examination. These two students learned in the same private extra-school tutoring institute when they were junior high-school students. Assuming this event as a group infection of tuberculosis in the extra-school tutoring institute, we performed an extraordinary examination on the teachers working there. 2) In the extraordinary examination, a patient who could be judged as the source of infection was found. 3) As a result of extraordinary examination on students learning in the institute, a bimodal distribution was noted in the size of tuberculin test, compared with the results of tuberculin test at the first grade of junior high-school, the reaction was amplified. Twenty four students were subjected to chemoprophylaxis. 4) One case of pleurisy occurred from a student recommended chemoprophylaxis by the ad hoc committee on epidemic of tuberculosis, and the recommendation was neglected by an attending physician.
摘要
  1. 两名来自不同高中的学生在学校体检中被查出患有肺结核。这两名学生在初中时曾在同一家校外私立辅导机构学习。假设这一事件为校外辅导机构内的结核病群体感染,我们对在该机构工作的教师进行了特别检查。2) 在特别检查中,发现了一名可被判定为传染源的患者。3) 对在该机构学习的学生进行特别检查的结果显示,与初中一年级时的结核菌素试验结果相比,结核菌素试验的大小呈现双峰分布,反应增强。24名学生接受了化学预防。4) 一名被结核病疫情特别委员会建议进行化学预防的学生发生了一例胸膜炎,而主治医生忽视了这一建议。

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