2024年屠宰场工作人员结核分枝杆菌潜伏感染情况及影响因素分析

Latent Mycobacterium tuberculosis infection and influencing factors in slaughterhouse workers, 2024

  • 摘要:
    目的  调查分析2024年屠宰场工作人员结核分枝杆菌潜伏感染情况,并对危险因素进行分析。
    方法 选取新疆维吾尔自治区、内蒙古自治区、湖北省屠宰场的工作人员,通过问卷调查的方式收集屠宰场工作人员的基本信息,利用γ-干扰素释放试验判断屠宰场工作人员结核分枝杆菌潜伏感染情况,多因素logistic回归模型对潜伏感染的影响因素进行分析。
    结果 共调查了新疆维吾尔自治区、内蒙古自治区、湖北省屠宰场工作人员642人,总体的结核分枝杆菌潜伏感染率为36.14%。多因素logistic回归模型分析结果显示,年龄>25岁、后勤及相关岗比值比(OR)=4.06,95%置信区间(CI):1.27 ~ 12.94、屠宰及相关工作(OR=3.12,95%CI:1.09 ~ 8.96)、个人结核病史(OR=17.46,95%CI:3.09 ~ 98.64)和卡介苗接种史(OR=2.03,95%CI:1.41 ~ 2.93)为结核分枝杆菌潜伏感染的危险因素,女性(OR=0.61,95%CI:0.42 ~ 0.88)、大专及以上学历(OR=0.27,95%CI:0.15 ~ 0.48)为结核分枝杆菌潜伏感染的保护因素。
    结论  屠宰场工作人员属于高风险人群,应重点关注从事后勤和屠宰相关工作的人群。

     

    Abstract:
    Objective To investigate and analyze the prevalence of latent Mycobacterium tuberculosis (M. tuberculosis) infection in slaughterhouse workers in 2024 and identify the associated risk factors.
    Methods A cross-sectional study was conducted in workers from large-scale slaughterhouses in Xinjiang, Inner Mongolia and Hubei. The information about the demographic and other basic characteristics of the slaughterhouse workers were collected by suing structured questionnaire. Latent M. tuberculosis infection status was determined by using interferon-gamma release assay (IGRA). Multivariate Logistic regression model was used to identify factors associated with latent M. tuberculosis infection.
    Results A total of 642 slaughterhouse workers were enrolled in the study, the overall prevalence rate of latent M. tuberculosis infection was 36.14%. The multivariate Logistic regression analysis revealed several significant risk factors for latent M. tuberculosis infection, including age ≥25 years, supporting job odds ratio (OR) =4.06, 95% confidence interval (CI): 1.27-12.94, field slaughtering (OR=3.12, 95% CI: 1.09-8.96), history of Bacillus Calmette-Guérin (BCG) vaccination (OR=2.03, 95% CI: 1.41-2.93), and tuberculosis history (OR=17.46, 95% CI: 3.09-98.64). Conversely, woman (OR=0.61, 95% CI: 0.42-0.88) and college degree or higher (OR=0.27, 95% CI: 0.15-0.48) were the protective factors against latent M. tuberculosis infection.
    Conclusion Slaughterhouse workers are at high risk for latent M. tuberculosis infection, it is necessary to pay close attention to the prevention and control of tuberculosis in workers being engaged in both field slaughtering and supporting task in slaughterhouse.

     

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