辽宁省学校结核病聚集性疫情的风险评估指标体系研究.pdfVIP

结核病与肺部健康杂志 2015 年3 月第 4 卷第 1 期 ] Tuberc Lung Health.March 2015. Vol. 4.No.1 • 9 • ·论著· 辽宁省学校结核病聚集性疫情的 风险评估指标体系研究 戚巍玉在 E摘要】 目的 分析学校发生结核病聚集性疫惰的风险因素，进行学校结核病风险评估，为采取合理有效的 防控措施、控制学校结核病疫情提供依据。方法 由辽宁省疾病预防控制中心牵头组织 18 名专家组成专家小组， 采用专家会商法，经专家会议确定评估指标，以评分法确定指标权重，判定指标分值并排序。结果 通过专家会商 确定了 4 个一级评估指标和 26 个二级评估指标。通过对评分进行统计:在一级评估指标中，传染源的权重后分值 最高，达 0.33 ，在二级评估指标中，发现延迟、疫情漏报和传染源患者隐瞒病情进行权重后分值分别为 2.21 、 2.05 和 2.05 ，为极高危的风险因素。结论通过风险评估识别出学校结核病聚集性疫情的风险因素指标体系，可以作 为科学制定防控措施的重要依据。 【关键词】 结核，肺/流行病学; 疾病暴发流行; 危险性评估; 院校; 辽宁省 Indicator system of risk 部跚跚ent on tuberculosis outbreak in Liaoning school QI Wei , WANG 0ω De如rtment ο[ TB Oontrol of Liaoning Oenter for Disease Oontrol and Prevention. Shenyang 110005 , Ohina Oorres如nding auther: 阴性NG Oui , Email: ωαngcuilncdc@163. ωm Abstract] Objective To analyze the risk factors of tuberculosisCTB) outbreak in school , perform the risk assessment. and provide the reasonable and effective evidence for TB epidemic control in school. Meth叫s The expert panel which was made of 18 experts , was organized by Liaoning Center for Disease Control and Prevention. Risk assessments were taken by experts consultation. After discussing , the index weight was determined according the score method and ranked according the scor巳 Results Four primary and 26 secondary evaluation index were determined through the expert consultation. The weight of source case was up to o. 33 , which was the highest in the first-class indicators assessment. The risks such as detection delay. the epidemic omissions and the concealing di- sease of the source case illness were extremely high risk factors in the second-class , the we