结核病与肺部健康杂志 ›› 2015, Vol. 4 ›› Issue (1): 9-12.doi: 10.3969/j.issn.2095-3755.2015.01.002

• 论著 • 上一篇    下一篇

辽宁省学校结核病聚集性疫情的风险评估指标体系研究

戚巍,王毳   

  1. 100005 沈阳,辽宁省疾病预防控制中心结核病防制所
  • 收稿日期:2014-12-16 出版日期:2015-03-14 发布日期:2015-03-14
  • 通信作者: 王毳,Email:wangcuilncdc@163.com

Indicator system of risk assessment on tuberculosis outbreak in Liaoning school

QI Wei, WANG Cui   

  1. Department of TB Control of Liaoning Center for Disease Control and Prevention, Shenyang 110005, China
  • Received:2014-12-16 Online:2015-03-14 Published:2015-03-14
  • Contact: WANG Cui, Email: wangcuilncdc@163.com

摘要: 目的 分析学校发生结核病聚集性疫情的风险因素,进行学校结核病风险评估,为采取合理有效的防控措施、控制学校结核病疫情提供依据。方法 由辽宁省疾病预防控制中心牵头组织18名专家组成专家小组,采用专家会商法,经专家会议确定评估指标,以评分法确定指标权重,判定指标分值并排序。结果 通过专家会商确定了4个一级评估指标和26个二级评估指标。通过对评分进行统计:在一级评估指标中,传染源的权重后分值最高,达0.33。在二级评估指标中,发现延迟、疫情漏报和传染源患者隐瞒病情进行权重后分值分别为2.21、2.05和2.05,为极高危的风险因素。结论 通过风险评估识别出学校结核病聚集性疫情的风险因素指标体系,可以作为科学制定防控措施的重要依据。

Abstract: Objective To analyze the risk factors of tuberculosis(TB) outbreak in school, perform the risk assessment, and provide the reasonable and effective evidence for TB epidemic control in school. Methods The expert panel which was made of 18 experts, was organized by Liaoning Center for Disease Control and Prevention. Risk assessments were taken by experts consultation. After discussing, the index weight was determined according the score method and ranked according the score. Results Four primary and 26 secondary evaluation index were determined through the expert consultation. The weight of source case was up to 0.33, which was the highest in the first-class indicators assessment. The risks such as detection delay, the epidemic omissions and the concealing di-sease of the source case illness were extremely high risk factors in the second-class, the weighted score were 2.21, 2.05 and 2.05, respectively. Conclusion The indicator system of risk assessment on tuberculosis outbreak in school, provides the basis for taking scientific prevention and control measures.