tibljТуберкулез и болезни легкихTuberculosis and Lung Diseases2075-12302542-1506Медицинские знания и технологии10.21292/2075-1230-2014-0-5-66-68tiblj-79Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESОЦЕНКА РАСПРОСТРАНЕННОСТИ ЛАТЕНТНОЙ ТУБЕРКУЛЕЗНОЙ ИНФЕКЦИИ У СОТРУДНИКОВ ПРОТИВОТУБЕРКУЛЕЗНОГО УЧРЕЖДЕНИЯESTIMATION OF THE SPREAD OF LATENT TUBERCULOSIS INFECTION IN TUBERCULOSIS FACILITY EMPLOYEESЗоринаМ. М.ZorinaM. M.

заведующая эпидемиологическим отделением,

630040, г. Новосибирск, ул. Охотская, д. 81а

zmm1109@yandex.ruФилимоновП. Н.FilimonovP. N.noemail@neicon.ruФелькерИ. Г.FelkerI. G.noemail@neicon.ruМальцевА. В.MaltsevA. V.noemail@neicon.ruФГБУ «Новосибирский научно-исследовательский институт туберкулеза» Минздрава РоссииРоссияФГБУ «Новосибирский научно-исследовательский институт туберкулеза» Минздрава РоссииRussian Federation201401052014056668Copyright © Зорина М.М., Филимонов П.Н., Фелькер И.Г., Мальцев А.В., 20142014Зорина М.М., Филимонов П.Н., Фелькер И.Г., Мальцев А.В.Zorina M.M., Filimonov P.N., Felker I.G., Maltsev A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tibl-journal.com/jour/article/view/79

Представлены результаты обследования 180 сотрудников ННИИТ с использованием теста QuantiFERON-TB и диаскинтеста. Латентную туберкулезную инфекцию выявили почти у 1/3 персонала. Важными факторами инфицирования для сотрудников являются максимальная приближенность к больному (фтизиатры и средний медицинский персонал) и длительный (более 10 лет) стаж работы. Диаскинтест и QuantiFERON-TB имеют лишь умеренный уровень согласия между собой, при этом больше - по негативному результату. Полученные данные о конверсии и реверсии QuantiFERON-TB-теста при повторном тестировании неоднозначны и согласуются с имеющимися зарубежными публикациями.

The paper gives the results of examination using QuantiFERON-TB and diaskintest in 180 employees of the Novosibirsk Research Institute of Tuberculosis. Latent tuberculosis infection was detected in almost one-third of the employees. The closest proximity to the patient (phthisiatricians and middle-level medical personnel) and a long (more than 10-year) service are important infection factors for the employees. Diaskintest and QuantiFERON-TB show a moderate agreement, more on a negative result. The obtained data on the conversion and reversion of QuantiFERON-TB during retesting are ambiguous and agree with those of available foreign publications.

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The authors declare that there are no conflicts of interest present.