桃園某區域醫院醫療人員結核菌素測驗五年追蹤調查

A Five-Year Study of Tuberculin Skin Tests for Health Care Workers in a Taoyuan Territory Hospital

黃婉瑩(Wan-Ying Haung) ； 鄭舒倖(Shu-Hsing Cheng) ； 莊意芬(Yih-Fen Chuang) ； 劉勝芬(Shen-Feng Liu) ； 索任(Ren Suo)

《感染控制雜誌》 17卷2期 (2007/04) Pp. 69-79

https://doi.org/10.6526/ICJ.200704_17(2).0001

摘要

Tuberculosis (TB) is one of the most important pathogens that cause death. Increasing rate of tuberculosis infection was observed since 1985. Sixteen thousand cases of newly diagnosed tuberculosis occurred in Taiwan each year. Among them, more than 90% of cases were found and treated in the hospitals, so the risk of exposure to tuberculosis in the hospital personnel could not be neglected. Unfortunately there were few hospitals earnestly implemented a comprehensive management of occupational exposure to tuberculosis. In this study tuberculin skin tests (TST) were applied to our hospital staffs during 2001 to 2005. The positive rate for the newstaffs is 25%(126/505). Average positive rate is 28.1%(528/1881). And the annual conversion rate is 36.8%(236/642). The TST positive rate for new staffs who had no experience of working in the hospitals was 15.2%(16/105). It was significantly lower than the rate for the experienced staffs 27.5%(110/400), (OR=0.47, 0.26＜OR＜0.87, Chi square=6.68, P＜0.01). Possibility of infection for hospital workers is 85 times higher than the rate of general population. Such a high rate had never been found in previous reports. We suggest that every worker in the hospital should undergo TST and chest X ray examination at least once a year, for early detection of pulmonary tuberculosis

關鍵字

結核病 ； 結核菌素測驗

並列摘要

Tuberculosis (TB) is one of the most important pathogens that cause death. Increasing rate of tuberculosis infection was observed since 1985. Sixteen thousand cases of newly diagnosed tuberculosis occurred in Taiwan each year. Among them, more than 90% of cases were found and treated in the hospitals, so the risk of exposure to tuberculosis in the hospital personnel could not be neglected. Unfortunately there were few hospitals earnestly implemented a comprehensive management of occupational exposure to tuberculosis. In this study tuberculin skin tests (TST) were applied to our hospital staffs during 2001 to 2005. The positive rate for the newstaffs is 25%(126/505). Average positive rate is 28.1%(528/1881). And the annual conversion rate is 36.8%(236/642). The TST positive rate for new staffs who had no experience of working in the hospitals was 15.2%(16/105). It was significantly lower than the rate for the experienced staffs 27.5%(110/400), (OR=0.47, 0.26＜OR＜0.87, Chi square=6.68, P＜0.01). Possibility of infection for hospital workers is 85 times higher than the rate of general population. Such a high rate had never been found in previous reports. We suggest that every worker in the hospital should undergo TST and chest X ray examination at least once a year, for early detection of pulmonary tuberculosis

並列關鍵字

Tuberculosis ； tuberculin skin test