结核病与肺部健康杂志 ›› 2014, Vol. 3 ›› Issue (2): 100-103.doi: 10.3969/j.issn.2095-3755.2014.02.006

• 论著 • 上一篇    下一篇

内蒙古自治区杭锦后旗乡村医生潜伏结核感染现状调查

闫岱勤, 宋渝丹, 王雅丽, 高飞, 任利平, 陈亮, 何广学   

  1. 015000,内蒙古自治区巴彦淖尔市结核病防治所(闫岱勤、王雅丽);中国疾病预防控制中心科技处(宋渝丹、陈亮、何广学);内蒙古自治区结核病防治研究所(高飞、任利平)
  • 收稿日期:2014-05-16 出版日期:2014-04-20 发布日期:2014-04-20
  • 通信作者: 陈亮, Email:chenliang7054@163.com; 何广学,Email:hegx@chinacdc.cn
  • 基金资助:
    中美新发与再发传染病合作项目(2011-16)

Analysis of latent tuberculosis infection among village and township hospital doctors in Hanggin Rear Banner of Inner Mongolia

YAN Dai-qin*, SONG Yu-dan, WANG Ya-li, GAO Fei, REN Li-ping, CHEN Liang, HE Guang-xue.   

  1. Institute for Tuberculosis Control and Prevention of Bayannur, Bayannur 015000,China
  • Received:2014-05-16 Online:2014-04-20 Published:2014-04-20
  • Contact: CHEN Liang, Email: chenliang7054@163.com; HE Guang-xue, Email: hegx@chinacdc.cn

摘要: 目的 调查内蒙古自治区杭锦后旗乡村医生潜伏结核感染情况。方法 采用现况调查,于2011年11月对杭锦后旗乡村医生进行问卷调查和结核菌素皮肤试验(tuberculin skin test, TST),问卷采用中美新发与再发传染病合作项目“中国乡村医生结核感染及结核病发病率调查”的乡村医生结核感染控制调查问卷,共发放443份问卷,实际收回有效问卷443份,回收率100.0%。采用构成比等统计指标描述乡村医生的基本信息,分别以硬结平均直径5mm、10mm为参考界值计算结核分枝杆菌感染率。结果 杭锦后旗443名乡村医生均参加了问卷调查,男性占50.6%(224/443),年龄中位数为39岁,高中或中专学历的乡村医生占62.8%(278/443)。439名进行了TST检测,结核分枝杆菌感染率分别为39.9%(175/439)(硬结平均直径≥5mm)、17.5%(77/439)(硬结平均直径≥10mm)。结论 杭锦后旗乡村医生潜伏结核分枝杆菌感染率较高,亟需采取措施加强农村医疗卫生机构工作人员感染结核分枝杆菌的控制工作。

Abstract: Objective To investigate the current situation of latent tuberculosis infection (LTBI) among village and township hospital doctors in Hanggin Rear Banner of Inner Mongolia.Methods A cross-sectional study was conducted in November 2011. All village and township hospital doctors who had been registered at the local health authorities were recruited in the study and received the questionnaire investigation and tuberculin skin test (TST). The questionnaire which was used in an investigation of LTBI and TB incidence among the Chinese village and township hospital doctors in the China-U.S. Collaborative Program on Emerging and Reemerging Infectious Diseases (EID) was also used for this study. A total of 443 questionnaires were distributed and all questionnaires were returned and valid, so the overall response rate was 100.0%. The statistical indexes, such as constituent ra-tio, were used to analyze the basic information of the doctors. The rate of LTBI was calculated based on the different cutoff value of TST (average induration diameter of 5mm and 10mm were taken as the cutoff value of TST respectively).Results A total of 443 village and township hospital doctors in Hanggin Rear Banner received questionnaire investigation. Among them, the proportion of male doctors was 50.6% (224/443), the median age was 39 years old and the proportion of doctors who had high school diploma or equal education level was 62.8% (278/443). Four hundred and thirty-nine doctors received TST. Among them, the rates of LTBI were 39.9% (175/439) and 17.5% (77/439) respectively by taking 5mm and 10mm as the cutoff values of TST.Conclusion The rate of LTBI among village and township hospital doctors in Hanggin Rear Banner is higher. The effective TB infection control measures should be adopted in the basic health facilities in rural areas.