頁籤選單縮合
題 名 | 2017年臺灣中部某高中校園結核病聚集事件調查=Tuberculosis Outbreak Investigation at a Senior High School in Central Taiwan, 2017 |
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作 者 | 王心怡; 王功錦; 蔡韶慧; 賴珮芳; 劉碧隆; 柯靜芬; | 書刊名 | 疫情報導 |
卷 期 | 35:19 2019.10.08[民108.10.08] |
頁 次 | 頁284-289 |
分類號 | 412.42 |
關鍵詞 | 校園; 肺結核病; 聚集事件; School campus; Tuberculosis; Outbreak; |
語 文 | 中文(Chinese) |
中文摘要 | 中部某高中於2017年4月與7月分別通報1例肺結核病確診個案(案1與案2),案1的1名接觸者於7月通報並確診(案3),3名個案皆已完成治療。接觸者部分,案1接觸者丙型干擾素釋放試驗(Interferon-gamma release assay, IGRA)陽性率43.7%,已全數完成潛伏結核感染(latent tuberculosis infection, LTBI)治療。案2接觸者IGRA陽性率4.9%,LTBI加入治療率94.7%。 本校園結核病聚集事件於案2通報後,經進一步疫調方發現案1與案2具流行病學相關,惟案2當時並未列入案1的接觸者,顯示進行校園接觸者調查時應更多面向查證,以提升疫情調查完整性。另案1及案2通報時仍具高傳染性,顯示可能有延遲就醫及診斷情形,因此建議校園內應定期辦理師生結核病防治教育活動,並定期進行室內通風換氣評估,降低師生感染結核病的風險,另應加強基層診所對結核病診斷之宣導。 |
英文摘要 | Two tuberculosis (TB)students at the same senior high school in central Taiwan were confirmed in April and July 2017, respectively (case 1 and case 2). One contact was also diagnosed as TB case later (case 3). In contacts investigation of case 1 and case 2, the interferon-gamma release assay (IGRA) positive rates were 43.7% and 4.9%, respectively. Except one refused treatment, all other IGRA positive contacts received latent tuberculosis infection (LTBI) treatment. A further investigation found that case 2 was epidemiologically related to case 1, but case 2 was not defined as a contact of case 1 initially. We recommended that the TB outbreak investigation in school should be done from more aspects. Case 1 and case 2 were highly contagious when being diagnosed, indicating that they might have delayed medical treatment and diagnosis. Thus we recommended that schools regularly carry out TB prevention and education activities. Schools should also conduct ventilation assessment regularly to reduce the risk of TB transmission among teachers and students. We also recommended strengthening education and awareness of TB among clinic doctors. |
本系統中英文摘要資訊取自各篇刊載內容。