Sakhno L V, Leplina O I, Shevela E I, Ostanin A A, Nikonov S D, Chernykh E R
Institute of CLinical Immunology SO RAMN, Novosibirsk.
Probl Tuberk. 1996(5):28-30.
The present paper analyzes immunological parameters and the incidence of secondary immunodeficiency (SID) in physicians and medium-levelled medical staff contacting with tuberculous and non-specific infection. Suppressed cell immunity was recorded in 44% of the medical staff of a pulmonary surgical tuberculosis hospital, with increased length of service there was a rise in the number of patients diagnosed as having immunodepression. The clinical manifestations of SID were recorded in 56% in this group and they were most pronounced in a group of long-working personnel. The proportion of persons with immunodepression proved to be twice higher among nurses than among physicians. Nurses are at the highest risk for immunopathological states. This common occurrence of SID among medical staff is an indicator to make an obligatory regular immunological examinations of the staff for the prevention and immunotherapy of SID.
本文分析了接触结核和非特异性感染的医生及中级医务人员的免疫参数和继发性免疫缺陷(SID)的发生率。在一家肺外科结核病医院的44%医务人员中记录到细胞免疫受到抑制,随着工作年限的增加,被诊断为免疫抑制的患者数量有所上升。该组中56%记录到SID的临床表现,且在长期工作人员组中最为明显。事实证明,护士中免疫抑制者的比例是医生的两倍。护士处于免疫病理状态的风险最高。医务人员中SID的这种普遍存在表明,有必要对工作人员进行定期免疫检查,以预防和免疫治疗SID。