论文部分内容阅读
目的通过对一起山区学校肺结核聚集性疫情的流行病学调查,探索其可能的存在的危险(流行)因素,为今后庆元县学校结核病防控工作提供建议。方法对首发肺结核病例及密切接触者进行个案调查和临床筛查确诊,并开展对学校的卫生学调查和预防控制措施。结果共确诊肺结核5例,该学校存在结核病流行的危险因素,经落实防控措施,疫情有效控制,病生均痊愈返校上课。结论没能及时发现涂阳肺结核患者为发生聚集性疫情的主因,学校卫生环境差,学生卫生习惯不良,学习生活密切接触是引起疫情发生的重要因素。
Objective To investigate the possible epidemiological factors of tuberculosis epidemic in a mountain school and to provide suggestions for the prevention and control of tuberculosis in schools in Qingyuan County in the future. Methods First case of pulmonary tuberculosis and close contacts were investigated by case and clinical screening, and the school hygiene investigation and prevention and control measures were carried out. Results A total of 5 cases of tuberculosis were diagnosed. There were risk factors for tuberculosis epidemic in this school. After prevention and control measures were implemented and epidemic situation was effectively controlled, all the patients were cured and returned to school. Conclusions The main causes of the outbreak of agglomeration were not found in smear-positive pulmonary tuberculosis patients in time. School health environment is poor and students’ hygiene habits are not good. Close contact with studying life is an important factor causing outbreak.