监狱工作人员中结核菌素皮肤试验反应的患病率。
Prevalence of tuberculin skin test reactions among prison workers.
作者信息
Jochem K, Tannenbaum T N, Menzies D
机构信息
Nuffield Institute for Health, University of Leeds.
出版信息
Can J Public Health. 1997 May-Jun;88(3):202-6. doi: 10.1007/BF03403888.
OBJECTIVE
To determine the prevalence of positive tuberculin skin test (TST) reactions (10 mm or greater) among full-time employees of a provincial prison for women in Montreal.
METHODS
Participants underwent tuberculin skin testing and completed a self-administered questionnaire.
RESULTS
Among 129 employees identified, 118 (91%) underwent tuberculin testing. Among 102 born in Quebec who completed the questionnaire, 33 (32%) had positive TST reactions, including 12 (23%) of 52 subjects who had never been vaccinated. Positive TST reactions were significantly associated in multivariate analysis with BCG vaccination after infancy (OR = 4.5, 95% CI = 1.5-13.5), years of work at other provincial prisons (OR = 2.5 for each 5 years of work, 95% CI = 1.2-5.2), travel to tuberculosis endemic countries (OR = 7.7, 95% CI = 1.4-43), although not with work in the prison for women (OR = 1.3, 95% CI = 0.9-1.9)
CONCLUSION
The prevalence of positive TST reactions was greater among workers at a provincial prison for women than among a sample of students, suggesting increased occupational risk of tuberculosis infection.
目的
确定蒙特利尔一所省级女子监狱全职员工中结核菌素皮肤试验（TST）反应阳性（10毫米或更大）的患病率。
方法
参与者接受结核菌素皮肤试验并完成一份自我管理的问卷。
结果
在确定的129名员工中，118名（91%）接受了结核菌素检测。在魁北克出生并完成问卷的102名员工中，33名（32%）TST反应呈阳性，其中包括52名从未接种过疫苗的受试者中的12名（23%）。在多变量分析中，TST反应阳性与婴儿期后接种卡介苗显著相关（比值比=4.5，95%置信区间=1.5-13.5），与在其他省级监狱工作的年限显著相关（每工作5年比值比=2.5，95%置信区间=1.2-5.2），与前往结核病流行国家旅行显著相关（比值比=7.7，95%置信区间=1.4-43），但与在女子监狱工作无关（比值比=1.3，95%置信区间=0.9-1.9）。
结论
省级女子监狱工作人员中TST反应阳性的患病率高于学生样本，表明结核病感染的职业风险增加。
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