大城市县监狱中结核病的影像学筛查
Radiographic screening for tuberculosis in a large urban county jail.
作者信息
Puisis M, Feinglass J, Lidow E, Mansour M
机构信息
Cermak Health Services, Chicago, IL 60608, USA.
出版信息
Public Health Rep. 1996 Jul-Aug;111(4):330-4.
Abstract
OBJECTIVE
This study was designed to evaluate an innovative program of high speed radiographic screening for pulmonary tuberculosis (TB) at a large urban correctional institution, Cook County Jail in Chicago.
METHODS
From March 1992 to February 1994, 126,608 inmates were screened on intake with a 100-mm mini-chest radiograph.
RESULTS
Sixty-seven cases of active TB were identified by radiograph and 19 others from diagnostic work-up. The case finding rate for active disease with radiographic screening was approximately double the rate previously achieved with Mantoux skin testing. Mean time from jail entry to isolation was reduced from 17.6 days with Mantoux skin testing to 2.3 days with radiographic screening.
CONCLUSIONS
In large jail facilities, high speed X-ray screening for TB can minimize disruption of the intake process and lead to dramatic improvements in the efficiency of medical follow-up and isolation.
摘要
目的
本研究旨在评估在芝加哥的大型城市惩教机构库克县监狱开展的一项针对肺结核（TB）的高速放射学筛查创新项目。
方法
从1992年3月至1994年2月，126,608名囚犯在入狱时接受了100毫米的迷你胸部X光片筛查。
结果
通过X光片确诊67例活动性肺结核病例，另有19例通过诊断检查确诊。X光片筛查活动性疾病的病例发现率约为之前结核菌素皮肤试验的两倍。从入狱到隔离的平均时间从结核菌素皮肤试验的17.6天缩短至X光片筛查的2.3天。
结论
在大型监狱设施中，对肺结核进行高速X光筛查可最大程度减少入狱流程的干扰，并显著提高医疗随访和隔离的效率。
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