Burrill D, Enarson D A, Allen E A, Grzybowski S
Can Med Assoc J. 1985 Jan 15;132(2):137-40.
All 57 cases of active tuberculosis in women in nursing and related assisting occupations (henceforth called nurses) notified in British Columbia between 1969 and 1979 were reviewed. This represented a mean annual incidence of active tuberculosis of 2.6/10 000, similar to that in other women, adjusted for age and birthplace. The rate varied according to birthplace: among nurses born in Canada the rate was 2.0, almost twice that of other women born in Canada, and among those born in Asia it was 24.8, less than half that of other women born in Asia. The nurses born in Canada who had received BCG (bacille Calmette-Guérin) during their training were least likely to contract tuberculosis, the incidence rate being comparable to that among other women. Those whose results of tuberculin testing were negative but who were not vaccinated were twice as likely to contract tuberculosis, whereas those whose results were positive at the start of training were four times as likely to contract tuberculosis. The feasibility and implications of a tuberculosis screening and surveillance program are discussed.
对1969年至1979年间在不列颠哥伦比亚省通报的57例从事护理及相关辅助职业的女性（以下简称护士）活动性肺结核病例进行了回顾。这代表活动性肺结核的年平均发病率为2.6/10000，在根据年龄和出生地进行调整后，与其他女性相似。发病率因出生地而异：在加拿大出生的护士中发病率为2.0，几乎是在加拿大出生的其他女性的两倍；在亚洲出生的护士中发病率为24.8，不到在亚洲出生的其他女性的一半。在培训期间接种过卡介苗（结核杆菌疫苗）的加拿大出生的护士感染结核病的可能性最小，发病率与其他女性相当。结核菌素检测结果为阴性但未接种疫苗的护士感染结核病的可能性是前者的两倍，而在培训开始时检测结果为阳性的护士感染结核病的可能性是前者的四倍。文中讨论了结核病筛查和监测项目的可行性及影响。
