我国学校结核病预防与控制的思考

doi:10.3969/j.issn.1000-6621.2020.03.003

中国防痨杂志 ›› 2020, Vol. 42 ›› Issue (3): 195-199.doi: 10.3969/j.issn.1000-6621.2020.03.003

我国学校结核病预防与控制的思考

高谦¹(),梅建²

1 200032 复旦大学上海医学院基础医学院教育部、卫健委、医科院医学分子病毒学重点实验室
2 澳门特别行政区卫生局结核病防治中心

收稿日期:2019-12-28 出版日期:2020-03-10 发布日期:2020-03-18
通信作者: 高谦 E-mail:qiangao@fudan.edu.cn

Reflections on the prevention and control of tuberculosis among Chinese students

GAO Qian¹(),MEI Jian²

1 Key Laboratory of Medical Molecular Virology (MOE/NHC/CAMS),School of Basic Medical Sciences, Shanghai Medical College, Fudan University,Shanghai 200032,China

Received:2019-12-28 Online:2020-03-10 Published:2020-03-18
Contact: Qian GAO E-mail:qiangao@fudan.edu.cn

摘要/Abstract

摘要：

学校结核病防控一直是我国结核病防治工作的重点,学校结核病控制涉及千家万户,政策性强,稍有不当,会造成很大的社会影响。作者对学校结核病防控的重点人群、暴发公共卫生事件的定义,以及学生结核病休复学问题提出了一些不同见解,希望引起业界同道的关注、思考和讨论,更好地为政府制定切实可行和有效的学校结核病控制策略提供科学依据。

关键词: 结核, 院校, 综合预防, 传染病控制

Abstract:

Tuberculosis prevention and control in school is one of the critical tasks in China’s tuberculosis prevention and control program. School tuberculosis control involves thousands of families, has strong political significance, with any slightly inappropriate policy, which will cause significant social impact. This article puts forward some different perspectives on the critical population of school tuberculosis, the definition of public health outbreaks, and the issue of student patients returning to school. We are advocating the attention and discussion among colleagues and provide a scientific basis for the government to formulate a practical and effective school tuberculosis control strategy.

Key words: Tuberculosis, Schools, Universal precautions, Communicable disease control

高谦,梅建. 我国学校结核病预防与控制的思考[J]. 中国防痨杂志, 2020, 42(3): 195-199. doi: 10.3969/j.issn.1000-6621.2020.03.003

GAO Qian,MEI Jian. Reflections on the prevention and control of tuberculosis among Chinese students[J]. Chinese Journal of Antituberculosis, 2020, 42(3): 195-199. doi: 10.3969/j.issn.1000-6621.2020.03.003

参考文献 21

[1]	钟球, 成诗明, 周林 . 学校结核病筛查技术手册. 北京: 人民卫生出版社, 2018.
[2]	World Health Organization. WHO global tuberculosis report. Geneva: World Health Organization, 2017.
[3]	中华人民共和国国家卫生和计划生育委员会. WS 288—2017 肺结核诊断. 2017-11-09.
[4]	Jiang Q, Lu L, Wu J , et al. Assessment of tuberculosis contact investigation in Shanghai, China: an 8-year cohort study. Tuberculosis (Edinb), 2018,108:10-15.
[5]	武洁, 方仁东, 徐鹏 , 等. 采用基因分型技术分析家庭内结核病的传播. 中华结核和呼吸杂志, 2008,31(5):390-391.
[6]	李静, 江渊, 唐利红 , 等. 上海市某高级中学学生结核病疫情的分子流行病学分析. 中国防痨杂志, 2017,39(5):506-510.
[7]	李建翠, 汪延举, 史衍席 , 等. 采用分子流行病学和传统调查相结合分析嘉祥县某中学结核病聚集性疫情. 中国防痨杂志, 2012,34(10):655-658.
[8]	Ma MJ, Yang Y, Wang HB , et al. Transmissibility of tuberculosis among school contacts: an outbreak investigation in a boarding middle school, China. Infect Genet Evol, 2015,32:148-155.
[9]	Andrews RH, Devadatta S, Fox W , et al. Prevalence of tuberculosis among close family contacts of tuberculosis patients in South India, and influence of segregation of the patient on early attack rate. Bull World Health Organ, 1960,23:463-510.
[10]	Brooks SM, Lassiter NL, Young EC . A pilot study concerning the infection risk of sputum positive with tuberculosis patients on chemotherapy. Am Rev Respir Dis, 1973,108(4):799-804.
[11]	Gunnels JJ, Bates JH, Swindoll H . Infectivity of sputum positive tuberculosis patients on chemotherapy. Am Rev Respir Dis, 1974,109(3):323-330.
[12]	Rouillon A, Perdrizet S, Parrot R . Transmission of tubercle bacilli: the effects of chemotherapy. Tubercle, 1976,57(4):275-299.
[13]	Telzak EE, Fazal BA, Pollard CL , et al. Factors influencing time to sputum conversion among patients with smear-positive pulmonary tuberculosis. Clin Infect Dis, 1997,25(3):666-670.
[14]	Fennelly KP, Jones-López EC, Ayakaka I , et al. Variability of infectious aerosols produced during coughing by patients with pulmonary tuberculosis. Am J Respir Crit Care Med, 2012,186(5):450-457.
[15]	Riley RL, Mills CC, O’Grady F , et al. Infectiousness of air from a tuberculosis ward. Ultraviolet irradiation of infected air: comparative infectiousness of different patients. Am Rev Respir Dis, 1962,85:511-525.
[16]	Riley RL, Mills CC, Nyka W , et al. Aerial dissemination of pulmonary tuberculosis. A two-year study of contagion in a tuberculosis ward: 1959. Am J Epidemiol, 1995,142(1):3-14.
[17]	Escombe AR, Moore DA, Gilman RH , et al. The infectiousness of tuberculosis patients coinfected with HIV. PLoS Med, 2008,5(9):e188.
[18]	Dharmadhikari AS, Basaraba RJ, Van Der Walt ML , et al. Natural tuberculosis. Tuberculosis (Edinb), 2011,91(4):329-338.
[19]	Dharmadhikari AS, Mphahlele M, Venter K , et al. Rapid impact of effective treatment on transmission of multidrug-resistant tuberculosis. Int J Tuberc Lung Dis, 2014,18(9):1019-1025.
[20]	Taylor Z, Nolan CM, Blumberg HM , et al. Controlling tuberculosis in the United States. Recommendations from the American Thoracic Society, CDC, and the Infectious Diseases Society of America. MMWR Recomm Rep, 2005,54(RR-12):1-82.
[21]	U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, et al. Questions and answers about tuberculosis. [TB 2014]. Atlanta: Centers for Disease Control and Prevention, 2014. [2019-12-16]. https://www.cdc.gov/tb/publications/faqs/pdfs/qa.pdf.

我国学校结核病预防与控制的思考

Reflections on the prevention and control of tuberculosis among Chinese students

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