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目的分析某奶牛场新员工卡介苗接种及肺结核病感染情况,为肺结核病防控工作提供参考依据。方法按2013年《结核病防治管理办法》对新员工做上岗前结核病体检,并分析发病特点。结果体检发现4例肺结核病患者,均无明显临床症状,体检前均未就医,未采取任何防护及隔离措施,有潜在的传染性;卡介苗接种后卡疤形成和成年后PPD实验阳性率差异无统计学意义(χ2=0.453,P>0.05);是否卡介苗接种成年期肺结核病患病率差异有统计学意义(χ2=0.047,P<0.05)。结论重视卡介苗复查和复种,降低漏种率,加大高危人群结核病筛查,把肺结核病作为健康体检必查项目,更好地控制肺结核病疫情。
Objective To analyze the status of BCG vaccination and pulmonary tuberculosis among new employees in a dairy farm and provide references for the prevention and control of tuberculosis. Methods According to 2013 “Tuberculosis Prevention and Control Measures” for new employees do pre-job tuberculosis physical examination, and analyze the characteristics of the disease. Results There was no obvious clinical symptom in 4 cases of pulmonary tuberculosis patients and no medical examination before the physical examination. No protective and isolation measures were taken and there was potential contagion. There was no difference between the positive rate of kappa scar formation and adult PPD test after BCG vaccination Statistical significance (χ2 = 0.453, P> 0.05). The prevalence of tuberculosis in BCG vaccinated adults was statistically significant (χ2 = 0.047, P <0.05). Conclusion The emphasis on BCG review and multiple cropping, to reduce the leakage rate, increase the risk of tuberculosis screening in high-risk groups, the tuberculosis as a health check must check the project to better control tuberculosis outbreaks.