【作者】 张天豪； 陈伟； 成诗明；

【机构】 北京结核病控制研究所； 中国疾病预防控制中心结核病预防控制中心；

【摘要】 目的了解我国涂阳肺结核患者家庭密切接触者中活动性肺结核的检出率及有关的影响因素。方法采用多阶段分层整群抽样的方法,对四省(市)八个县(区)2008年登记的涂阳肺结核患者及其家庭密切接触者进行按照规定程序进行调查分析。结果涂阳肺结核患者家庭密切接触者中活动性肺结核患者检出率为2.74%,涂阳肺结核患者检出率为0.63%。指示病例的性别、是否有咳嗽咳痰症状、痰涂片结果,家庭密切接触者的年龄、与指示病例的关系、文化程度以及是否与患者居住同一房间等因素为主要影响因素。结论涂阳肺结核家庭密切接触者调查工作是主动发现活动性肺结核患者的有效手段。更多还原

【Abstract】 Objectives Understand the risk of sputum smear positive tuberculosis contact and factors correlated with the outcomes of the tuberculosis contact investigation.Methods Use the Multi-stage sampling method,we select eight county from four province as site of this study.We collect the data of the sputum smear positive tuberculosis and their household close contact,and analysis the influencing facts of the outcomes.Results The active tuberculosis detection rate was 2.74%in family close contacts of smear positive cases,and the smear positive detection rate was 0.63%.The influencing factor of active tuberculosis detection rate include:the gender of index,whether have cough symptoms,sputum smear result,contact’s age, the relationship between contact and index case,education degree of the close contact, whether live in the same room.Conclusions Household close contact investigation of sputum smear positive tuberculosis patient can detect more active tuberculosis.更多还原