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中国防痨杂志 ›› 2006, Vol. 28 ›› Issue (2): 71-73.

• 论著 • 上一篇    下一篇

涂阳肺结核病人家庭密切接触者痰涂片阳性检出情况分析

侯双翼;张险峰;叶建君;肖爱清;彭红;   

  1. 湖北省疾病预防控制中心 武汉 430079;
  • 出版日期:2006-02-10 发布日期:2006-11-03

Smear positives detection in family contacts of smear positive cases

Hou Shuangyi,Zhang Xianfeng,Ye Jianjun,et al.   

  1. Dept of Tuberculosis Control,Institute of Infectious Disease Control,Hubei Provincial Center for Disease andControl,Wuhan 430079,China
  • Online:2006-02-10 Published:2006-11-03

摘要: 目的了解涂阳肺结核病人家庭密切接触者痰涂片阳性检出情况。方法确认的家庭密切接触者36423人,每人提供3份痰标本(夜间痰、晨痰和即时痰),进行痰涂片检查。结果涂阳肺结核病人家庭密切接触者中涂阳检出率为1.0%;病人排菌量与家庭密切接触者涂阳检出率呈正相关关系;家庭密切接触者≤15岁年龄组和≥55岁以上年龄组的涂阳检出率要高于其他各组,分别为1.5%和2.1%,经统计学处理,有显著性差异。结论对涂阳病人家庭密切接触者进行痰涂片筛查,有助于提高涂阳病人的发现率。特别对排菌量在2+以上病人的家庭密切接触者,以及家庭密切接触者≤15年龄组和≥55岁年龄组的痰涂片筛查,可发现更多涂阳病人。

关键词: 结核, 肺/预防和控制

Abstract: Objective To determine smear positive detection situation in family close contacts of smear positive cases.Methods 36 423 confirmed close contacts of smear positive cases were asked to provide 3 sputum specimens(night,morning and spot sputum) for smear examination.Results The smear positive detection rate was 1.0% in family close contacts of smear positive cases.There was a positive correlation between smear positive detection rate of close contacts and the amount of bacteria discharged by the cases.The smear positive detection rate in ≤15 age group and ≥55 age group of close contacts(1.5% and 2.1% respectively) was higher than other groups.There was significant statistical difference.Conclusions To screen close contacts of smear positive cases by sputum examination could help to increase smear positive case detection rate.Especially for the close contacts of those cases with amount of bacteria discharged more than 2+ and close contacts in ≤15 age group and ≥55 age group,sputum examination screening will help to detect cases as early as possible.

Key words: Pulmonary tuberculosis/prevention and control