深圳市龙岗区寄宿制中学新生结核分枝杆菌潜伏感染现状

赵小双; 谭健霞; 刘靖元; 李敏璐; 郑铁洪; 黄东红

doi:10.16835/j.cnki.1000-9817.2024094

深圳市龙岗区寄宿制中学新生结核分枝杆菌潜伏感染现状

doi: 10.16835/j.cnki.1000-9817.2024094

1.
广东省深圳市龙岗区慢性病防治院结核病防治科，518000
2.
重庆市渝北区疾病预防控制中心慢病科
3.
深圳市龙岗区慢性病防治院健康教育与促进科
4.
深圳市龙岗区慢性病防治院医务部

基金项目:

龙岗区2023年医疗卫生技术攻关项目 LGKCYLWS2023030

2023年度龙岗区科技计划医疗卫生非扶持类项目 LGWJ2023-(158)

详细信息

作者简介:
赵小双(1994-)，女，四川广安人，硕士，主治医师，主要从事疾病预防与控制方面工作

通讯作者:
黄东红，E-mail：1447922757@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 R181.3⁺² R378.91⁺¹
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- 被引次数: 0
出版历程
- 收稿日期: 2023-08-23
- 修回日期: 2023-10-19
- 网络出版日期: 2024-03-29
- 刊出日期: 2024-03-25

Latent tuberculosis infection status among freshmen in boarding middle schools in Longgang District of Shenzhen City

1.
Tuberculosis Prevention and Control Department, Shenzhen Longgang Center for Chronic Disease Control, Shenzhen(518000), Guangdong Province, China

摘要

摘要: 目的分析深圳市龙岗区寄宿制中学新生的结核分枝杆菌潜伏感染现状，为下一阶段结核病防控策略的制定提供参考依据。方法利用2022年9月至2023年5月深圳市龙岗区中小学生结核病健康体检数据，分析结核分枝杆菌潜伏感染现状，采用χ²检验探究不同年级、学校性质、学校类别、学校级别的潜伏感染率差异。结果 2022年深圳市龙岗区寄宿制初一和高一新生的结核分枝杆菌潜伏感染率为2.45%。完全中学(6.45%)、高中(3.37%)、寄宿制初中(0.28%)、九年一贯制(0)和十二年一贯制(1.00%)学生的感染率差异有统计学意义(P < 0.01)；高一新生的结核分枝杆菌潜伏感染率(2.68%)高于寄宿制初一新生(0.33%)，公立学校(2.87%)、市级学校(3.24%)的感染率分别高于私立学校(1.78%)、区级学校(2.13%)，差异均有统计学意义(χ²值分别为43.58，25.15，22.69，P值均 < 0.01)。结论深圳市龙岗区寄宿制中学新生结核分枝杆菌潜伏感染率处于较低水平，高中、公立、市级学校学生的结核分枝杆菌潜伏感染率更高。学校应充分保证学生的体育活动时间、通过举办健康知识讲座提高学生对结核病的认知，减少学生结核病的发生。
- 分枝杆菌 /
- 结核 /
- 感染 /
- 结核菌素试验 /
- 学生
Abstract: Objective To analyze the current status of latent tuberculosis infection (LTBI) among freshmen in boarding middle schools in Longgang District, Shenzhen, so as to provide reference for formulating tuberculosis prevention and control strategies in the next stage. Methods Data for tuberculosis health examination conducted among primary and secondary school students in Longgang District of Shenzhen in September 2022 to May 2023 were utilized to analyze the latent tuberculosis infection rate, and to explore the differences in latent tuberculosis infection rate among different grades, school nature, school categories and school levels. Results The latent tuberculosis infection rate among freshmen in boarding secondary schools in Longgang District, Shenzhen in 2022 was 2.45%. The infection rate among full middle school (6.45%) and high school (3.37%) were higher than that in boarding junior high school (0.28%), nine-year education school (0) and twelve-year education school (1.00%)(P < 0.01). Moreover, the infection rate of high school freshmen (2.68%) was higher than that of bording junior high school (0.33%), and the rate of public schools (2.87%) and municipal schools (3.24%) were higher than those of private schools (1.78%) and distric-level schools (2.13%) respectively, with statistical significance observed for all differences(χ²=43.58, 25.15, 22.69, P < 0.01). Conclusions The latent tuberculosis infection rate among new boarding secondary students is relatively low in Longgang District of Shenzhen. However, the infection rate is higher in high school, public and municipal school. School should fully guarantee sports participation of students, enhance students' awareness of tuberculosis through health knowledge lectures, and reduce the incidence of tuberculosis among students.
- Mycobacterium /
- tuberculosis /
- Infection /
- Tuberculin test /
- Students
注释:

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表 1 不同组别寄宿制中学新生结核分枝杆菌PPD试验结果分布及潜伏感染率比较

Table 1. Comparison of PPD test results distribution and latent tuberculosis infection rate among new boarding secondary school students in different groups

组别	选项	筛查人数	统计值	PPD试验结果				潜伏感染
组别	选项	筛查人数	统计值	阴性	一般阳性	中度阳性	强阳性	潜伏感染
学段	寄宿制初一	2 133		2 110(98.92)	16(0.75)	6(0.28)	1(0.05)	7(0.33)
	寄宿制高一	19 617		18 433(93.96)	658(3.35)	404(2.06)	122(0.62)	526(2.68)
			χ²值	90.62				43.58
			P值	< 0.01				< 0.01
学校性质	公立	13 422		12 608(93.94)	429(3.20)	287(2.14)	98(0.73)	385(2.87)
	私立	8 328		7 935(95.28)	245(2.94)	123(1.48)	25(0.30)	148(1.78)
			χ²值	30.78				25.15
			P值	< 0.01				< 0.01
学校类型	寄宿制初中	1 054		1 043(98.96)	8(0.76)	2(0.19)	1(0.09)	3(0.28)
	九年一贯制	106		104(98.11)	2(1.89)	0	0	0
	高中	10 027		9 345(93.20)	344(3.43)	252(2.51)	86(0.86)	338(3.37)
	完全中学	760		710(93.42)	1(0.13)	47(6.18)	2(0.26)	49(6.45)
	十二年一贯制	7 124		6 916(97.08)	137(1.92)	52(0.73)	19(0.27)	71(1.00)
	中职	2 679		2 425(90.52)	182(6.79)	57(2.13)	15(0.56)	72(2.69)
			χ²值
			P值	< 0.01^*				< 0.01^*
学校级别	区级	15 493		14 727(95.06)	436(2.81)	276(1.78)	54(0.35)	330(2.13)
	市级	6 257		5 816(92.95)	238(3.80)	134(2.14)	69(1.10)	203(3.24)
			χ²值	64.07				22.69
			P值	< 0.01				< 0.01
注：潜伏感染人数等于中度阳性和强阳性患者之和；()内数字为构成比或检出率/%；*为Fisher确切概率法。

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