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頁籤選單縮合
| 題 名 | 2017年東部某鄉鎮結核病聚集事件=A Tuberculosis Outbreak in a Township of Eastern Taiwan, 2017 |
|---|---|
| 作 者 | 孫林伯伊; 李美珠; 黃貝琴; 簡大任; | 書刊名 | 疫情報導 |
| 卷 期 | 35:7 2019.04.09[民108.04.09] |
| 頁 次 | 頁82-86 |
| 分類號 | 412.42 |
| 關鍵詞 | 結核病聚集事件; 臨時工; 新生兒; 經濟弱勢; Tuberculosis outbreak; Temporary workers; Newborns; Economic disadvantage; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 2017年1月,東部某鄉A村一名隧道邊坡工程臨時工(案1)經社區整合式篩檢確診結核病,陸續確診之7名結核病個案中,案1、案5及案6為同職場員工,菌株型別相同,確定為結核病聚集事件。共匡列72名接觸者,潛伏結核感染檢驗陽性率25%。另考量案1傳染性高,可傳染期長,接觸者陸續發病,將案2、案4、案7及2013至2016年4名A村確診個案,共12件菌株送驗,結果除案7的2007年菌株不同型外,餘11件皆相同。本事件具個案傳染性強、未曾參與結核病篩檢、臨時工、經濟弱勢、住處通風不佳及新生兒臨托等特性,除加強衛教並落實高風險對象主動發現外,公衛端及時轉介社福、委請警政、村長等在地人士協助,且密且與醫療端溝通,多方合作,共同解決個案經濟與健康問題,落實結核病防治,才得以阻遏疫情持續擴大。 |
| 英文摘要 | In January 2017, a temporary workers of tunnel engineering in a township of eastern Taiwan was diagnosed as tuberculosis (TB) through community screening. Of seven confirmed TB cases identified subsequently, cases 1, 5, and 6 were coworkers and sharing with the same strain type, thus an outbreak of tuberculosis in the township was confirmed. Among 72 contacts, 18 (25%) had a positive reaction with Latent Tuberculosis Infection (LTBI) test. Because of the high infectivity and long infectious period of case 1, we compared 12 isolates from cases 1, 2, 4, and 7 (3 isolates from 2008, 2014, and 2018 respectively) and other four confirmed cases from the township (cases A–D, reported between 2013 and 2016). The results showed that these were of the same strain except one isolate from case 7 collected in 2007. Six features were found in this outbreak investigation: 1) the index case was highly infectious, 2) the case had not receive TB screening before the event, 3) temporary workers, 4) economic disadvantages, 5) inadequate ventilation in residence, and 6) having newborns in the same household. In addition to enhancing health education and actively detecting high-risk subjects, collaboration of public health authorities, medical institutions, and social welfare systems are essential to implement TB control policies and to tackle cases’ economic and health issues, thereby stopping the epidemic. |
本系統中英文摘要資訊取自各篇刊載內容。