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黎新宇, 彭晓旻, 裴红生, 贺雄, 杨艾荣, 曹润九, 唐耀武. 北京市大饭店中央空调系统作为军团菌感染因素的队列研究[J]. 中国公共卫生, 2001, 17(2): 122-123. DOI: 10.11847/zgggws2001-17-02-19
引用本文: 黎新宇, 彭晓旻, 裴红生, 贺雄, 杨艾荣, 曹润九, 唐耀武. 北京市大饭店中央空调系统作为军团菌感染因素的队列研究[J]. 中国公共卫生, 2001, 17(2): 122-123. DOI: 10.11847/zgggws2001-17-02-19
LI Xin-yu, . Cohort-study on the Central Air Conditinning Systems of Big Hotels Located at Beijing as a Potential Risk Factor for Legionellosis[J]. Chinese Journal of Public Health, 2001, 17(2): 122-123. DOI: 10.11847/zgggws2001-17-02-19
Citation: LI Xin-yu, . Cohort-study on the Central Air Conditinning Systems of Big Hotels Located at Beijing as a Potential Risk Factor for Legionellosis[J]. Chinese Journal of Public Health, 2001, 17(2): 122-123. DOI: 10.11847/zgggws2001-17-02-19

北京市大饭店中央空调系统作为军团菌感染因素的队列研究

Cohort-study on the Central Air Conditinning Systems of Big Hotels Located at Beijing as a Potential Risk Factor for Legionellosis

  • 摘要: 目的探讨北京市大饭店中央空调系统与军团菌感染相关关系.方法随机抽取北京市4家大饭店414位工作人员作为暴露人群和414位对照者作为对照人群,用历史性队列研究方法,针对中央空调系统这一暴露因素进行血清流行病学研究.结果暴露人群与对照人群军团菌抗体总阳性(人年)率分别为11.5‰和2.1‰(χ2=38.2,P<0.01,RR=5.48,AR%=81.8%).通过年龄分层分析,暴露人群各年龄组抗体阳性(人年)率明显高于对照人群,其中差异最大的是<35岁年龄组.比较暴露人群与对照人群Lp1~Lp14抗体滴度水平,暴露人群Lp1、Lp6、Lp12、Lp144个菌型高于对照人群.对暴露人群感染水平与暴露时间进行趋势性卡方检验(χ2=0.59,P=0.75),没有显示出暴露人群感染水平随着暴露时间的延长而且上升趋势.结论中央空调系统是导致军团菌感染的一个潜在性危险因素.

     

    Abstract: Ahistorical co hor-tstudy was carried out by comparing levels of sero-antibodies against Legionella pneumnophila of 414 wor kers who were taken as the exposure-group under central air conditioning systems with 414 controls from the general poputation as the non-exposure group.The results show ed that the positive rates(person-stime)of sero-antibodies against Lp1-14 from both of above two groups were 11.5j and 2.1 j respectively.The positve rate of the former was rather higher than that of the latter.(χ2=14.2 P<0.01,RR=5.48,AR%=81.8%).By means of stratified analysis,it was shown that each of positive rate of different age groups of the exposure group was higher than that of the non-exposure group,with the most differentin<35 agegroup(χ2=14.4,P<0.01,RR=17.0,AR%=94.1%).As compared with the non-exposure group,the titer of Lp1,Lp12, and Lp14 of the exposure gorup were significantly hig her than that of the non-exposure group.However,it was also shown that,by tendency of examination,the positive rate in exposure group was no long erincrease with exposure time went on(χ2= 0.59,P=0.75).The results suggested that the central ai-rconditioning system should be a potential risk factor for legionnaires.disease.

     

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