目的了解重庆市中等学校结核病防控工作现状,为有效实施结核病防控工作提供建议。方法应用流行病学现况调查法,对2013年重庆市39个区县304所中等学校的分管结核病防控工作人员进行问卷调查,使用SPSS16.0进行描述性分析、卡方检验或Fisher精确检验。结果公办和民办学校结核病防控工作领导责任制、工作计划、疫情报告人、健康教育等防控工作落实较好,但校医配备、学校结核病防治知识培训、新生入学体检比例均较低。公办学校和民办学校学生因结核病缺勤的学校比例分别为48.57%(136/280)、25.00%(6/24),公办学校高于民办学校(P<0.05),主要集中在公办寄宿制高中和公办职业高中,比例分别为51.80%(115/222)、40.38%(21/52);公办学校和民办学校有学生因患结核病而休、复学的学校比例分别为39.29%(110/280)、8.33%(2/24),公办学校高于民办学校(P<0.05),主要集中在公办寄宿制高中和公办职业高中,比例分别为42.34%(94/222)、30.77%(16/52);公办学校和民办学校协助开展密切接触者筛查学校比例分别为100.00%(124/124)、23.53%(4/17),公办学校高于民办学校(P<0.01);民办技工学校执行教室、宿舍开窗通风等感染控制措施比例较低,分别为71.43%(5/7)、85.71%(6/7),民办学校尚未积极协助疾控机构开展结核病密切接触者筛查工作,感染控制意识薄弱,民办职业高中和技工学校未建立休复学制度。结论重庆市学校结核病防控措施落实不够,特别是民办学校结核病疫情处置较为薄弱,应建立多部门联防联控机制,严防学校聚集性疫情和突发公共卫生事件的发生。 Objective To understand the status quo of tuberculosis prevention and control work in secondary schools in Chongqing and to provide suggestions for the effective implementation of tuberculosis prevention and control. Methods A questionnaire survey was conducted on the TB control staff in 304 secondary schools in 39 districts and counties in 2013 using SPSS 16.0 descriptive analysis, Chi-square test or Fisher’s exact test . Results The leadership responsibility system, work plan, epidemic situation report, health education and other prevention and control work in public and non-government schools were well implemented. However, the proportion of school doctors and doctors, knowledge of TB prevention and treatment training and the enrollment of new students in medical school was low. The percentage of schools absent from public hospitals and private schools due to tuberculosis was 48.57% (136/280) and 25.00% (6/24), respectively. Public schools were higher than private schools (P <0.05), mainly in public boarding high schools Public vocational high schools accounted for 51.80% (115/222) and 40.38% (21/52) respectively. In public schools and non-government schools, there were students who died of tuberculosis. The proportion of returning schools to schools was 39.29% (110/280) 8.33% (2/24). Public schools were higher than private schools (P <0.05), mainly in public boarding high schools and public vocational high schools, accounting for 42.34% (94/222), 30.77% (16/52) ; Public schools and private schools to help carry out close contact screening schools were 100.00% (124/124), 23.53% (4/17), public schools than private schools (P <0.01); private technical school executive classroom (71.43% (5/7), 85.71% (6/7)). Non-government schools have not actively assisted CDCs in conducting screening for close contacts of tuberculosis (TB), and infection control Weak awareness, private vocational schools and technical schools did not establish a system of rest and rest. Conclusion The implementation of prevention and control measures for tuberculosis in schools in Chongqing is not enough. Especially the treatment of TB outbreak in private schools is relatively weak. A multi-sectoral coalition prevention and control mechanism should be set up to prevent the occurrence of school-borne epidemic and public health emergencies.