江苏省“十三五”期间学校结核病防控工作实施情况

Effect analysis of school tuberculosis control and prevention in Jiangsu during the 13th FiveYear Plan period

目的了解江苏省“十三五”期间学校结核病防治工作体系运行情况和学校结核病防控措施落实情况,为更好地开展学校结核病防控工作提供依据。方法采用分层加典型抽样的方法,共抽取江苏省3个地市36所中学,6所大学,采用统一的调查表进行学校结核病防治工作现况调查。结果所有学校均建立学校结核病防控责任制,配置卫生技术人员,设有疫情报告人。2015年,初中、高中和大学入学新生结核检查率分别为64.60%、54.15%和85.66%。到2020年初中、高中和大学入学新生结核病检查率分别上升至100.00%、98.67%和100.00%,呈逐年上升趋势,差异有统计学意义(χ^(2)=8993.22,9594.33,10431.92,P<0.001)。寄宿制初中和高中2015年开展结核菌素皮肤试验(tuberculin skin test,TST)分别为0和2所,到2020年TST检测率均为100.00%(9/9)和100.00%(11/11),呈逐年上升趋势,差异有统计学意义(χ^(2)=34.55,27.67,P<0.001)。2015—2020年分别有38002、33507、42376、50418、58235和66006名入学新生开展结核病检查,共发现17例肺结核患者,各年分别发现0、1、3、6、2和5例。结论江苏省学校结核病防控各项工作检查率逐年增加,但仍应加强卫生专业人员队伍建设,规范各项防控措施的落实,预防和控制结核病在校园内传播。

ObjectiveTo investigate the construction of tuberculosis(TB)prevention and control system in schools in Jiangsu Province and the implementation of routine measures for TB prevention and control,and to provide evidence for further improvement of strategy of school TB control and prevention.MethodsWith the method of typical sampling,36 middle schools and 6 universities were selected from 3 cities of Jiangsu Province.A survey was carried out for TB prevention and control in schools with the unified form.ResultsAll schools had established school responsibility system for tuberculosis prevention and control.All schools equipped with health care workers.In 2015,64.60%of middle school students,54.15%of high school students and 85.66%of college students were screened for tuberculosis.In 2020,the tuberculosis screening rate rised to 100.00%for middle school students,98.67%for high school students and 100.00%for university,which showing an increasing trend year by year,and the difference was statistically significant(χ^(2)=8993.22,9594.33,10431.92,P<0.001).Tuberculin skin test(TST)was carried out in only 2 boarding middle and high schools in 2015 to 2020,showing an increasing trend year by year,and the difference was statistically significant(χ^(2)=34.55,27.67,P<0.001).From 2015 to 2020,38002,33507,42376,50418,58235 and 66006 freshmen were screened for TB with 17 patients were found,and the number of diagnosed TB patients was 0,1,3,6,2 and 5,respectively in each year.ConclusionsThe overall situation of TB prevention and control in school was good in Jiangsu Province.The screening rate for TB among freshmen in 2020 was significantly higher than that in 2015.We should still strengthen the building of health professionals and implement prevention and control measures to control the transmission of TB in schools.