烟台市结核病定点医疗机构医务人员结核感染现状及影响因素
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R181.3 R521

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山东省医药卫生科技项目(202412051224)


Current status and influencing factors of tuberculosis infection in healthcare workers in designated tuberculosis medical institutions in Yantai City
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    摘要:

    目的 分析烟台市结核病定点医疗机构相关医务人员结核潜伏感染(LTBI)的流行现况,并探讨其影响因素。方法 采取整群随机抽样方法,选取2所县区级结核病定点医疗机构,对所有医务人员同时进行问卷调查和新型结核菌素皮肤试验(C-TST)检测, 分析LTBI的影响因素。结果 共纳入结核病定点医疗机构医务人员215名,确诊LTBI 37名,感染率为17.21%(95%CI:12.42%~22.93%)。多因素logistic回归分析显示,临床医生(OR=3.19,95%CI:1.05~9.69)、检验人员(OR=5.90,95%CI:1.21~28.77)、工作年限≥10年(OR=3.31,95%CI:1.39~7.90)及家庭成员结核病病史(OR=6.49,95%CI:1.01~41.46)是LTBI的独立危险因素。结论 与结核病患者或结核分枝杆菌直接接触的临床医生及检验人员的感染风险高于其他医务人员,且感染风险与工作年限相关。建议加强医院感染控制措施,并定期对重点科室医务人员开展结核病主动筛查。

    Abstract:

    Objective To analyze the prevalence of latent tuberculosis infection (LTBI) among relevant healthcare workers (HCWs)in designated tuberculosis medical institutions (MIs) in Yantai City, and explore its influencing factors. Methods The cluster random sampling method was adopted to select two county- and district-level designated tuberculosis MIs. All HCWs underwent questionnaire survey and creation tuberculin skin test (C-TST) at the same time, and the influencing factors for LTBI were analyzed. Results A total of 215 HCWs from designated tuberculosis MIs were included for analysis, 37 were diagnosed with LTBI, with an infection rate of 17.21% (95%CI: 12.42%-22.93%). Multivariate logistic regression analysis showed that clinicians (OR=3.19, 95%CI: 1.05-9.69), laboratory technician (OR=5.90, 95%CI: 1.21-28.77), working years ≥10 years (OR=3.31, 95%CI: 1.39-7.90), and tuberculosis history of family members (OR=6.49, 95%CI: 1.01-41.46) were independent risk factors for LTBI. Conclusion The infection risk of clinicians and laboratory technicians who directly contact with tuberculosis patients or Mycobacterium tuberculosis is higher than that of other HCWs, and is related to the length of working years. It is suggested that healthcare-associated infection control measures should be streng-thened, and tuberculosis active screening should be carried out regularly for HCWs in key departments.

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甄丽丽,刘靖宇,周静,等.烟台市结核病定点医疗机构医务人员结核感染现状及影响因素[J]. 中国感染控制杂志,2025,24(10):1435-1442. DOI:10.12138/j. issn.1671-9638.20252307.
ZHEN Lili, LIU Jingyu, ZHOU Jing, et al. Current status and influencing factors of tuberculosis infection in healthcare workers in designated tuberculosis medical institutions in Yantai City[J]. Chin J Infect Control, 2025,24(10):1435-1442. DOI:10.12138/j. issn.1671-9638.20252307.

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  • 收稿日期:2025-04-03
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  • 在线发布日期: 2025-10-29
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