頁籤選單縮合
題名 | 臺北區某校園結核病聚集感染事件調查處理經驗與省思=Outbreak Investigation and Control Experience of School Tuberculosis in Taipei Region |
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作者 | 邱珠敏; 杜純如; 吳俊賢; 黃士澤; 王寰峯; 杜純如; | 書刊名 | 疫情報導 |
卷期 | 31:20 2015.10.27[民104.10.27] |
頁次 | 頁496-505 |
分類號 | 412.452 |
關鍵詞 | 校園; 結核病; 聚集感染事件; 調查處理; |
語文 | 中文(Chinese) |
中文摘要 | 校園為最常偵測到社區結核病疫情的場域之一,本事件屬歷年來規模較大之校園結核病聚集感染事件,衛生單位依據專家會議決議,執行擴大接觸者檢查、潛伏結核感染轉介治療、每半年執行胸部X光(chest X-ray, CXR)檢查、校園環境與空調系統改善稽查作業等相關防治作為。本事件歷經2年長期持續積極追蹤,截至截稿日為止,通報確診人數總計22例,其中菌株基因型別相同者12例,接觸者追蹤累積人數達1,081人。本事件影響國內校園結核病防治與潛伏結核感染(latent TB infection, LTBI)治療政策之制定,促使校園結核病防治權責執行與分工更臻明確,亦凸顯校園結核病防治重要性,相關建議並可做為未來校園結核病防治政策制定之參考。這些建議包括:建請教育當局研議學校教職員工定期胸部X光檢查,規範並落實學生健康檢查作業、強化接觸者風險溝通,建議擴大推動校園七分篩檢法,並建立校園呼吸道症狀監測機制、籲請行政院環境保護署加速推動執行「室內空氣品質管理法」,以提升校園環境空氣品質。 |
英文摘要 | The school campus is one of the most common sites related to tuberculosis outbreak in community. We report a large school tuberculosis outbreak in Taipei region. Based on the expert meetings, local public health authorities took actions including: 1) expanding contact examination; 2) transferring and assessing of latent tuberculosis infection (LTBI) treatment; 3) following up chest X-ray every six months; and 4) improving the ventilation systems of the school. We tracked 1,081 tuberculosis contacts; there were 22 confirmed tuberculosis case-patients during the two-year follow up and 12 patients had isolates with matching restricted fragment length polymorphism (RFLP) genotypes. We recommend: 1) implementing regular chest X-ray examination for school employees and students; 2) fulfilling the student health examination exactly; 3) emphasizing the risk communication among contacts; 4) expanding Seven Score Screen Method; 5) setting the monitoring mechanisms of respiratory symptoms in schools; and 6) promoting the Indoor AirQuality Act which is associated to air quality improvement in schools. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。