监狱看守：潜伏性结核病感染的危险人群。
Guards in Prisons: A Risk Group for Latent Tuberculosis Infection.
机构信息
Facultad Nacional de Salud Pública, Universidad de Antioquia UdeA, Medellín, Colombia.
Department of Medical Microbiology, Department of Internal Medicine, Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
出版信息
J Immigr Minor Health. 2019 Jun;21(3):578-585. doi: 10.1007/s10903-018-0746-1.
To determine the prevalence and incidence of LTBI among prison guards and to the risk factors associated with infection. Two male prisons in Medellín and Itaguí, Colombia. A cohort study was conducted in adult prison guards that consented to participate. Exclusion criteria included: previous or current active TB, or conditions that preclude TST administration. We screened 194 guards and completed 155 TST administrations. The prevalence of LTBI was 55.8% in prison one, and 39.1% in prison two. The risk factors associated with LTBI diagnosis included drug use at least once in a lifetime (PR: 1.75; 95% CI 1.42-2.15) and male sex (PR: 2.16; 95% CI 1.01-4.62). The cumulative incidence of TST conversion over 6 months was 3.2%. All conversions occurred in prison 1. Our findings suggest an occupational risk for LTBI prevalence and incidence among guards (different prevalence and incidence according to the prison they work).
目的
确定监狱狱警中潜伏性结核感染（LTBI）的患病率和发病率，以及与感染相关的危险因素。
地点
哥伦比亚麦德林和伊塔圭的两所男性监狱。
方法
对同意参与的成年监狱狱警进行队列研究。排除标准包括：既往或现患活动性结核病，或妨碍 TST 实施的情况。我们筛查了 194 名狱警，完成了 155 次 TST 给药。第一所监狱 LTBI 的患病率为 55.8%，第二所监狱为 39.1%。与 LTBI 诊断相关的危险因素包括至少使用过一次药物（PR：1.75；95%CI 1.42-2.15）和男性（PR：2.16；95%CI 1.01-4.62）。6 个月内 TST 转化率的累积发生率为 3.2%。所有转化率均发生在第一所监狱。
结论
我们的研究结果表明，监狱狱警存在 LTBI 患病率和发病率的职业风险（根据他们工作的监狱，患病率和发病率不同）。
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