在学校环境中追踪结核病接触者:对未来的教训。

Pam Banner
{"title":"在学校环境中追踪结核病接触者:对未来的教训。","authors":"Pam Banner","doi":"10.1071/NB12096","DOIUrl":null,"url":null,"abstract":"Contact tracing plays a large role in the everyday work of chest clinics in NSW. It is a routine procedure that follows the ‘concentric circle’ method of screening. When a chest clinic becomes aware of a confirmed case of tuberculosis (TB), the inner ring of the circle (which comprises those with the highest risk of infection, including family and others in close contact with the index case) are screened first. If infection is detected in this group, screening proceeds to the medium-risk group and then, if necessary, to low-risk contacts, until no new infections are found. When explained, this methodis usuallyreadily understood and accepted by contacts. However, screening can become disrupted when contacts and others become fearful. This paper highlights the case of a complex school screening which involved both screening all rings of the concentric circle (i.e. high, medium and low-risk contacts) and screening outside the circle (i.e. non-contacts). In 2007 an overseas-born casual infants/primary school teacherinNSWwasdiagnosedwithinfectiouscavitaryTB disease by sputum smear, culture and chest X-ray. She had originallybeendiagnosedwithpneumoniaandwasonsick leave for 1 month. One hour into the second day of her return to work, she had a massive haemoptysis (coughing up of blood) and was hospitalised. Her household contacts were an overseas-born husband who was tuberculin skin test (TST) positive with a clear chest X-ray, and an Australian-born child who was TST negative. No other contacts were provided to the TB Coordinator at the Chest Clinic. Because of the teacher’s smear and chest X-ray results, the TB Coordinator consulted with the then NSW Department of Health and local Public Health Unit (local units which work to identify, prevent and minimise public health risks tothe community). Following this consultation, it was agreed to notify the school.","PeriodicalId":29974,"journal":{"name":"NSW Public Health Bulletin","volume":"24 1","pages":"27-8"},"PeriodicalIF":0.0000,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"Tuberculosis contact tracing within a school environment: lessons for the future.\",\"authors\":\"Pam Banner\",\"doi\":\"10.1071/NB12096\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Contact tracing plays a large role in the everyday work of chest clinics in NSW. It is a routine procedure that follows the ‘concentric circle’ method of screening. When a chest clinic becomes aware of a confirmed case of tuberculosis (TB), the inner ring of the circle (which comprises those with the highest risk of infection, including family and others in close contact with the index case) are screened first. If infection is detected in this group, screening proceeds to the medium-risk group and then, if necessary, to low-risk contacts, until no new infections are found. When explained, this methodis usuallyreadily understood and accepted by contacts. However, screening can become disrupted when contacts and others become fearful. This paper highlights the case of a complex school screening which involved both screening all rings of the concentric circle (i.e. high, medium and low-risk contacts) and screening outside the circle (i.e. non-contacts). In 2007 an overseas-born casual infants/primary school teacherinNSWwasdiagnosedwithinfectiouscavitaryTB disease by sputum smear, culture and chest X-ray. She had originallybeendiagnosedwithpneumoniaandwasonsick leave for 1 month. One hour into the second day of her return to work, she had a massive haemoptysis (coughing up of blood) and was hospitalised. Her household contacts were an overseas-born husband who was tuberculin skin test (TST) positive with a clear chest X-ray, and an Australian-born child who was TST negative. No other contacts were provided to the TB Coordinator at the Chest Clinic. Because of the teacher’s smear and chest X-ray results, the TB Coordinator consulted with the then NSW Department of Health and local Public Health Unit (local units which work to identify, prevent and minimise public health risks tothe community). Following this consultation, it was agreed to notify the school.\",\"PeriodicalId\":29974,\"journal\":{\"name\":\"NSW Public Health Bulletin\",\"volume\":\"24 1\",\"pages\":\"27-8\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2013-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"NSW Public Health Bulletin\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1071/NB12096\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"NSW Public Health Bulletin","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1071/NB12096","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2

摘要

本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tuberculosis contact tracing within a school environment: lessons for the future.
Contact tracing plays a large role in the everyday work of chest clinics in NSW. It is a routine procedure that follows the ‘concentric circle’ method of screening. When a chest clinic becomes aware of a confirmed case of tuberculosis (TB), the inner ring of the circle (which comprises those with the highest risk of infection, including family and others in close contact with the index case) are screened first. If infection is detected in this group, screening proceeds to the medium-risk group and then, if necessary, to low-risk contacts, until no new infections are found. When explained, this methodis usuallyreadily understood and accepted by contacts. However, screening can become disrupted when contacts and others become fearful. This paper highlights the case of a complex school screening which involved both screening all rings of the concentric circle (i.e. high, medium and low-risk contacts) and screening outside the circle (i.e. non-contacts). In 2007 an overseas-born casual infants/primary school teacherinNSWwasdiagnosedwithinfectiouscavitaryTB disease by sputum smear, culture and chest X-ray. She had originallybeendiagnosedwithpneumoniaandwasonsick leave for 1 month. One hour into the second day of her return to work, she had a massive haemoptysis (coughing up of blood) and was hospitalised. Her household contacts were an overseas-born husband who was tuberculin skin test (TST) positive with a clear chest X-ray, and an Australian-born child who was TST negative. No other contacts were provided to the TB Coordinator at the Chest Clinic. Because of the teacher’s smear and chest X-ray results, the TB Coordinator consulted with the then NSW Department of Health and local Public Health Unit (local units which work to identify, prevent and minimise public health risks tothe community). Following this consultation, it was agreed to notify the school.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
审稿时长
20 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信