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肺结核家庭密切接触者MTB感染类型及影响因素分析

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目的 研究肺结核患者家庭密切接触者MTB感染类型及影响因素.方法 选取2023年10月-2024年3月昆明市第三人民医院诊断的231例肺结核患者的家庭密切接触者,通过QFT-plus检测MTB感染情况.结果 在肺结核家庭密切接触者中,MTB阳性率为30.74%,其中8.22%为活动性肺结核,11.26%为陈旧性肺结核,11.69%为LTBI.单因素分析发现,年龄≤18岁、夫妻关系、共同居住、共用卧室以及指示病例的涂片阳性、肺外结核、空洞表现等因素与MTB感染有关,差异有统计学意义(P<0.05).多因素logistic回归分析表明,年龄≤18岁、与指示病例共同居住、指示病例涂片阳性是MTB感染的危险因素,差异有统计学意义(P<0.05).结论 家庭密切接触者中MTB感染率(30.74%)较高,这提示要高度重视对家庭密切接触者的结核病筛查以及治疗,同时筛查LTBI者以及预防性治疗,以降低结核病的发病风险.
Analysis of MTB infection types and influencing factors in family close contacts of pulmonary tuberculosis
Objective To study the types and influencing factors of MTB infection in close family contacts of pulmonary tuberculosis patients.Methods A total of 231 close family contacts of pulmonary tuberculosis patients diagnosed in Third People's Hospital of Kunming from October 2023 to March 2024 were selected to detect MTB infection by QFT-plus.Results Among close family contacts of tuberculosis,the positive rate of MTB was 30.74%,of which 8.22%were active tuberculosis,11.26%were old tuberculosis,and 11.69%were LTBI.Univariate analysis showed that age ≤18 years old,marital relationship,cohabitation,shared bedroom,smear-positive of indicator cases,extrapulmonary tuberculosis,and cavity performance were associated with MTB infection,and the difference was statistically significant(P<0.05).Multivariate logistic regression analysis showed that age ≤18 years old,living with indicator case,and positive smear of indicator case were risk factors for MTB infection,and the difference was statistically significant(P<0.05).Conclusions The MTB infection rate(30.74%)was higher among close family contacts,suggesting that high attention should be paid to tuberculosis screening and treatment of close family contacts for TB,as well as screening for LTBI and preventive treatment to reduce the risk of tuberculosis.

pulmonary tuberculosisclose family contactslatent tuberculosis infectiondetection of tuberculosis infected T cells

崔灿灿、刘蕾、刘颖楠、万荣、何静、徐源、李明武

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大理大学公共卫生学院,云南 大理 671000

昆明市第三人民医院/云南省传染性疾病临床医学中心结核二科,云南 昆明 650041

肺结核 家庭密切接触者 结核潜伏感染 结核感染T细胞检测

2024

云南医药
中华医学会云南分会

云南医药

影响因子:0.459
ISSN:1006-4141
年,卷(期):2024.45(6)