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世界感染杂志 2010年第l0卷第4期 World Journal ofInfection Volume 10，Number 4，Aug 2010 ·195· 文章编号：1562．3122(2010)04．0195．04 芜湖某中学一起聚集性肺结核疫情的流行病学调查 程周祥 ，胡礼军 ，方益荣。，李永霞 ，王 荣 摘要：目的 查明学校肺结核暴发疫情的分布、性质和影响范围，为正确处理疫情提供依据。方法 对 该校出现疫情的高三年级学生全部进行胸部x线检查、PPD实验、痰涂片检查和查验卡介苗接种后留下 的卡痕，确认既往BeG接种情况，对教师、高一、高二学生进行结核病疑似症状有哪些信誉好的足球投注网站。对患病学生进 行个案调查和暴露因素调查，描述病例的三间分布。结果 病例在班级间分布差异明显，首发传染性 肺结核病人所在班级发病最多，有19例活动性肺结核和19例疑似肺结核。有活动性肺结核的宿舍疑似 肺结核病例也多。患病学生肺结核典型症状少见，卡介苗接种卡痕保护率为65％。结论 这是一起由传 染性肺结核学生隐瞒病情长期在校上学引发的学校结核病疫情暴发。 关键词：肺结核；暴发：调查 中图分类号：R52；R181．2 文献标识码：A Epidemiologic survey on tuberculosis outbreak which happened at a high school in W uhu CHENGZhou-xiang1 ． HULi-jun1．FANG Y{．r0n L1Yong-xia3,WANGRongl(1Anhui WuhuCDC, Anhui 241004 China,2 Trainee ofepidemictrainingprojectfChina CDC,3Anhui Wuhu GejiangDistrict CD Abstract：0bjecive To ascertain the distribution．character and incidence of a tuberculosis(TB) outbreak which happened at a high school，then provide evidence for solution epidemic siuation accurately．M ethods Carry out chest X--ray,PPD n d acid· -fast staining of sputum smear for all sudents of grade three which happened TB epidemic siuation．Examine their BeG mark to conirm if they were inoculated against TB．At he same time，search or new patients wih symptoms that suggest TB from teachers and students of other grades．Descibe the epidemical distribution by case sudy n d exposre factor investigation．Results The number of cases has signiicn t diferences from every class．The most cases happened at the class which has First infectious case and the total cases in his class involved 1 9 infectious n d 1 9 suspected．The sudents’ hostels which have infectious case have a few examples of suspected cases simultneity．The typical symptoms of TB appeared rarely to all the cases．h e protection rate of BCG mark is 65 percent．Conclusions This is an epidemic situation of TB outbrek at schoo1．which caused by he infectious case keeping back the truth of sufeing rom TB and aRending school simultaneiy． Key words：uberculosis；outbrek