首页|2023年高县学生结核分枝杆菌感染情况调查分析

2023年高县学生结核分枝杆菌感染情况调查分析

扫码查看
目的 分析宜宾市高县学生结核分枝杆菌感染情况及分布特征,为优化学校结核病预防控制措施提供科学依据.方法 2023年选取宜宾市高县所有的小学、中学及职业高中,筛查全体在校学生的结核分支杆菌感染情况,对调查对象进行肺结核可疑症状、结核病史、肺结核密切接触史的问诊及结核菌素皮肤试验.采用Excel 2021、SPSS 22.0软件进行统计分析,分析不同组别学生的结核感染情况.感染率的差异采用x2检验,年龄和学龄分布趋势采用趋势x2检验,检验水准α=0.05.结果 共43 659名调查对象获得TST复验结果,TST阳性2 828人,阳性率6.48%(2 828/43 659),其中结核分枝杆菌的感染1419人,感染率3.25%(1419/43 659).从地理分布看,感染率最高为文江镇的5.00%(286/5 725),不同乡镇间的感染率存在统计学差异(x2=367.87,P<0.001);城区学校感染率高于乡镇,差异有统计学意义(x2=199.31,P<0.001);寄宿制学校感染率高于非寄宿,差异有统计学意义(x2=699.83,P<0.001);从学龄段看,小学的感染率1.18%(273/23 157)最低,高中的感染率6.33%(433/6 837)最高,各学龄段的感染率差异有统计学意义(x2=717.10,P<0.001),趋势x2提示学龄段提高,感染率有上升趋势(x2=648.08,P<0.001);从年龄来看,集中在13岁及以上,不同年龄段的感染率存在统计学差异(x2=737.61,P<0.001),年龄趋势x2提示,年龄增加,感染率呈上升趋势(x2=657.31,P<0.001).结论 高县学生结核分枝杆菌感染率为3.25%,处于较低水平,应加强管理感染率高的区域,高学龄段学生应为日后防控的重点人群,对低年龄段加强宣传,指导养成健康行为,降低学生结核分枝杆菌感染.
Investigation and analysis on the results of mycobacterium tuberculosis infection screening in students of Gao County in 2023
Objective To analyze the prevalence and distribution characteristics of the infection of mycobacterium tuberculosis among students in Gao County of Yibin City,and to provide a scientific basis for optimising prevention and control measures of tuberculosis in schools.Methods In 2023,all primary schools,middle schools and vocational high schools in Gao County of Yibin City were selected to screen mycobacterium tuberculosis infection for all school children,and the suspected tuberculosis,a history of tuberculosis,a history of close contact with tuberculosis,and a tuberculin skin test were conducted for the respondents.Excel 2021 and SPSS 22.0 software were used for statistical analyses to describe the situation of TB infection in different groups of students,and the difference in infection rates was tested by Chi-square test.Trend Chi-square test was used to test the trend of age and age distribution of TB infection,and the test level α=0.05.Results Among the 43 659 participants received the TST retest,2 828 individuals tested positive,with a positivity rate of 6.48%(2 828/43 659).Among them,1 419 individuals were infected with mycobacterium tuberculosis,with an infection rate of 3.25%(1 419/43 659).Geographically,the highest infection rate was observed in Wenjing town at 5.00%(286/5725).There were statistically significant differences in infection rates among different townships(x2=367.87,P<0.001).The infection rate in urban schools was higher than that in rural areas,with statistical significance(x2=199.31,P<0.001).Boarding schools had a higher infection rate compared to non-boarding schools,with statistical significance(x2=699.83,P<0.001).In terms of age groups,the lowest infection rate was observed in primary school students at 1.18%(273/23 157),while the highest infection rate was found in high school students at 6.33%(433/6 837).There were statistically significant differences in infection rates among different age groups(x2=717.10,P<0.001),and the trend test suggested that as the age group increased,the infection rate showed an upward trend(x2=648.08,P<0.001).In terms of age,the infection rate was concentrated in individuals aged 13 vears and above,and there were statistically significant differences in infection rates among different age groups(x2=737.61,P<0.001).The trend test also indicated that as age increased,the infection rate showed an upward trend(x2=657.31,P<0.001).Conclusions The infection rate of mycobacterium tuberculosis among students in Gao County is 3.25%,at a low level,and the management of areas with high infection rates has been strengthened,and students in the higher school age groups should be the focus of future prevention and control efforts,in order to further reduce the infections of mycobacterium tuberculosis among students.

mycobacterium tuberculosispulmonary tuberculosisstudentinfectscreening

曾源鸿、陈朝琼、杨煊镔、邓敏、赵素荣

展开 >

成都医学院公共卫生学院,成都 610500

宜宾市疾病预防控制中心,四川 宜宾 644400

结核分枝杆菌 肺结核 学生 感染 筛查

2024

预防医学情报杂志
中华预防医学会,四川省疾病预防控制中心

预防医学情报杂志

CSTPCD
影响因子:0.681
ISSN:1006-4028
年,卷(期):2024.40(7)