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目的了解传染病医院工作人员结核菌素皮肤试验(TST)的接受度并分析影响因素,为传染病医院结核病(TB)的职业防护管理策略提供科学依据。方法采用横断面研究方法,于2011年5~12月对河南省传染病医院工作人员开展社会人口学特征、结核病防治知识、医务工作、医院职业防护以及院内感染培训情况的问卷调查和TST。采用SPSS 17.0软件对数据进行统计分析,TST接受度的影响因素分析采用单变量logistic回归和多变量逐步logistic回归。结果 503名调查对象中TST接受度为76.94%(387/503),不愿接受TST的主要原因为既往检查阳性、担心局部皮肤产生疼痛、水泡等。多因素分析结果显示,从事临床医务工作的时间≥5年(OR=0.52,95%CI:0.34~0.82)和TB门诊/病房工作≥2年(OR=0.62,95%CI:0.39~0.97)是传染病医院工作人员TST接受度的影响因素。结论应针对医务人员开展结核分枝杆菌潜伏感染的监测工作,探索利用TST联合新型检测方法对已发生结核分枝杆菌潜伏感染的医务人员进行随访,提高检测意愿,预防医务人员结核病的发生。
Objective To understand the acceptability of tuberculin skin test (TST) in infectious disease hospital staff and analyze the influencing factors so as to provide a scientific basis for the occupational protection and management strategy of tuberculosis (TB) in infectious disease hospital. METHODS: A cross-sectional study was conducted. From May to December 2011, questionnaires and TSTs of socio-demographic characteristics, tuberculosis prevention and control knowledge, medical work, hospital occupational protection and nosocomial infection training were conducted in Henan Infectious Disease Hospital staff. The data were analyzed by SPSS 17.0 software. The influencing factors of TST acceptance were analyzed by univariate logistic regression and multivariate logistic regression. Results Among the 503 respondents, the TST acceptance was 76.94% (387/503). The main reason for the unwillingness to accept TST was the positive past examination and the pain and blisters on the local skin. Multivariate analysis showed that the time spent in clinical and medical work was ≥5 years (OR = 0.52, 95% CI: 0.34-0.82) and TB outpatient / ward work ≥2 years (OR = 0.62, 95% CI: 0.39-0.97) Is the infectious disease hospital staff TST acceptance factor. Conclusion Medical staff should carry out monitoring of latent infection of Mycobacterium tuberculosis and explore the use of TST combined with a new detection method to follow-up medical staffs who have latent infection of Mycobacterium tuberculosis to improve detection intention and prevent the occurrence of tuberculosis among medical staffs.