Annals of Occupational and Environmental Medicine

  • 제23권1호
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  • Pages.64-70
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  • 2011
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  • 1225-3618(pISSN)
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  • 2052-4374(eISSN)
대한직업환경의학회 (The Korean Society of Occupational & Environmental Medicine)
권호 표지

일개 대학 병원에서 간호사의 근무 부서와 폐결핵 발생과의 관계: 후향적 코호트 연구

The Relationship between Hospital Departments and Risk of Developing Tuberculosis among Nurses Working at a University Hospitalin Korea: Retrospective Cohort Study

  • 윤진하 (연세대학교 원주의과대학 예방의학교실) ;
  • 오성수 (연세대학교 원주의과대학 예방의학교실) ;
  • 이기현 (연세대학교 원주의과대학 예방의학교실) ;
  • 김성경 (연세대학교 원주의과대학 예방의학교실) ;
  • 오재호 (연세대학교 원주의과대학 예방의학교실) ;
  • 원청세 (연세대학교 원주의과대학 예방의학교실) ;
  • 장세진 (연세대학교 원주의과대학 예방의학교실) ;
  • 차봉석 (연세대학교 원주의과대학 예방의학교실) ;
  • 엄애용 (국립목포대학교 간호학과) ;
  • 고상백 (연세대학교 원주의과대학 예방의학교실)
  • Yoon, Jin-Ha (Department of Preventive Medicine, Wonju College of Medicine,Yonsei University) ;
  • Oh, Sung-Soo (Department of Preventive Medicine, Wonju College of Medicine,Yonsei University) ;
  • Lee, Ki-Hyun (Department of Preventive Medicine, Wonju College of Medicine,Yonsei University) ;
  • Kim, Sung-Kyung (Department of Preventive Medicine, Wonju College of Medicine,Yonsei University) ;
  • Oh, Je-Ho (Department of Preventive Medicine, Wonju College of Medicine,Yonsei University) ;
  • Won, Chung-Se (Department of Preventive Medicine, Wonju College of Medicine,Yonsei University) ;
  • Chang, Sei-Jin (Department of Preventive Medicine, Wonju College of Medicine,Yonsei University) ;
  • Cha, Bong-Suk (Department of Preventive Medicine, Wonju College of Medicine,Yonsei University) ;
  • Eom, Ae-Yong (Department of Nursing, Mokpo National University) ;
  • Koh, Sang-Baek (Department of Preventive Medicine, Wonju College of Medicine,Yonsei University)
  • 발행 : 2011.03.31
⟨ 이전 논문 다음 논문 ⟩

초록

목적: 일개 대학 병원에 근무하는 간호사집단에서의 근무부서별 결핵발생의 특성에 대해 연구하고자 하였다. 방법: 병원 의무기록을 통한 후향적 코호트를 구축하였다. 2000년부터2007년 까지, 총 351명의 간호사에 대하여 2010년 10월까지의 결핵 발생을 추적 조사 하였다. 또한, 간호사를 근무 부서에 따라 결핵노출 고위험부서와 결핵노출 저위험부서로 나누어 발생률 차이를 비교하여 보았다. 부서별 차이를 비교해 보기 위해서는 Cox의 비례위험 모형을 이용하여, 결핵에 대한 비교위험도를 조사하였다. 총 2001인년 동안 7건의 결핵이 발생되었고, 5건은 결핵노출 고위험부서에서 나머지 2건은 결핵노출 저위험부서에서 발생하였다. 결핵노출 저위험부서에 대한 결핵노출 고위험부서의 결핵 비교위험도는 6.52(95%신뢰구간, 1.26~33.60)로 통계적으로 유의한 차이가 있었다. 결론: 여러 가지 제한점이 있으나, 본 연구는 간호사 중 결핵노출 고위험부서 근무자는 직업적으로 타 부서에 비해 결핵발생위험이 높아, 직업환경의학적 관심이 필요하겠다.

Objectives: To investigate the occurring characteristics of pulmonary tuberculosis (TB) among nurses working at a university hospital in Korea. Methods: A retrospective cohort study was conducted using medical records from a university hospital. A total of 351 nurses without any pulmonary disease were enrolled during 2000~2007, and were followed up until October 2010. To compare with the incidence of TB between occupational subgroups, workplaces were divided into high and low TB-exposure risk departments. For statistical analysis, the relative risks for TB incidences between departments were estimated using Cox proportional hazards models and mean incidences were estimated with person-time years. Results: Seven cases of TB were observed during 2001 person-years. Five and two cases were observed in the high and low TB-exposure risk departments, respectively. The relative risk of TB infection in the high TB-exposure risk departments were 6.52 (95% CI, 1.26~33.60) compared to that in the low TB-exposure risk department. The mean incidence of TB in the total nurses was 0.350% per personyear. Conclusions: According to the concept of occupational and environmental medicine, high TB-exposure risk departments were more likely to be at increased risk of tuberculosis.

키워드

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