頁籤選單縮合
題 名 | 2017年雲林縣某社區多重抗藥結核病聚集事件調查及防治經驗=Investigation And Intervention of Multiple Drug-Resistant Tuberculosis Outbreak in A Community of Yunlin County, 2017 |
---|---|
作 者 | 鍾淑香; 張淑禎; 李佩玲; 蔡懷德; 王仁德; 謝瑞煒; 李翠鳳; | 書刊名 | 疫情報導 |
卷 期 | 36:6 2020.03.24[民109.03.24] |
頁 次 | 頁82-87 |
分類號 | 412.452 |
關鍵詞 | 社區疫情; 結核病聚集; 多重抗藥性結核個案; 流病調查; 問卷; Community epidemic; Tuberculosis outbreak; MDR-TB; Epidemiologic investigation; Qestionnaire; |
語 文 | 中文(Chinese) |
中文摘要 | 雲林縣某社區除了結核病(TB)發生率偏高外,其抗藥性結核病個案數亦有偏高的情形。其中有一多重抗藥結核(multidrug-resistant tuberculosis, MDR-TB)菌株,從2005年出現首例病人,直到2017年止,共計通報14例同基因型菌株之關聯個案。為避免社區疫情擴大,衛生單位評估進一步的防治作為,除了重啟流病調查外,更於2017年10月17日召開專家會議,確立全面性之防疫措施。流病調查推估,上述MDR-TB菌株於該社區至少有三條關聯鏈。社區篩檢後,利用問卷將 164名丙型干擾素釋放試驗(interferon-gamma release assay, IGRA)檢測陽性者,再區分出「MDR-TB接觸者」148人及「一般TB接觸者」16人。16人中13人完成潛伏結核感染(latent tuberculosis infection, LTBI)的治療,2人持續9H治療中,1人中斷。監測1年迄今(2018年),未發現新增TB個案。顯示全面性主動發現、早期投藥,對疫情的扼阻,初見成效。 |
英文摘要 | A patient of multidrug-resistant tuberculosis (MDR-TB) was first identified in a community, which had relatively high TB incidence rates and large number of drug-resistant TB cases, in Yunlin County in 2005. Afterwards, a total of 14 MDR-TB cases with the same strain had been reported before 2017. To prevent the TB outbreak from wide spreading in the community, the health authorities established prevention measures by re-investigation of the outbreak after a specialist meeting on Oct. 17, 2017. Epidemiologic investigation revealed that at least three interpersonal networks might be the transmission chains of the outbreak. After screening in the community, 164 interferon gamma release assay (IGRA)-positive patients were detected and were futher divided into 148 MDR-TB contacts and 16 TB contacts. Among 16 TB contacts, 13 completed latent tuberculosis infection treatment, 2 were receiving 9H treatment, and 1 discontinued the treatment. Up to 2018, no new case had been found, which indicated that the intervention by active case finding and early treatment was effective to prevention and control the outbreak. |
本系統中英文摘要資訊取自各篇刊載內容。