Kovaleva S I, Alekseeva L P
Probl Tuberk. 1995(4):5-6.
Incidence rate of tuberculosis was ascertained in medical and paramedical staff of antituberculosis institutions (ATI) for adults. For the period 1987-1993 tuberculosis developed in 38 subjects, i.e. 4 times more frequently than in the rest adult population of Russia. The physicians catch the infection 1.2 times less frequently than paramedical personnel. The highest morbidity was observed in the staff of clinical, bacteriological and pathological laboratories. The course of tuberculosis in ATI staff is favourable due to early detection and long-term treatment but is characterized by frequent attendant diseases, resistance and intolerance to antibacterial drugs. Preventive treatment of ATI staff in a special sanatorium enhances their resistance to M. tuberculosis infection and reduces this infection prevalence in tuberculosis contacts.
已确定了抗结核机构(ATI)成年医护及辅助医护人员的结核病发病率。在1987年至1993年期间,38名受试者患上了结核病,即发病频率比俄罗斯其他成年人口高4倍。医生感染的频率比辅助医护人员低1.2倍。临床、细菌学和病理实验室的工作人员发病率最高。由于早期发现和长期治疗,ATI工作人员的结核病病程较为有利,但特点是常伴有其他疾病、对抗菌药物耐药和不耐受。在特殊疗养院对ATI工作人员进行预防性治疗可增强他们对结核分枝杆菌感染的抵抗力,并降低结核病接触者中的感染率。