What should kindergarten children pay attention to in preventing tuberculosis?

(1) Daily prevention

1. Kindergartens at all levels should actively use health education classes, class meetings, lectures, blackboard newspapers and other forms to carry out regular publicity and education on tuberculosis prevention and control knowledge, enhance teachers' and children's understanding of tuberculosis, and raise their awareness of self-protection. Increase nutrition, strengthen exercise, pay attention to personal hygiene, dry bedding frequently, and don't spit everywhere.

2. Designate special personnel to disinfect and ventilate classrooms, offices, canteens, audio-visual classrooms, laboratories, libraries, music rooms, corridors, stairs and other public places to keep the indoor air fresh.

3. Kindergartens shall implement the inspection system of children's vaccination certificate. If there is no child vaccination certificate, it is necessary to replant it in time and replant it before going to nursery.

(2) Epidemic control

In the kindergarten group, when more than 3 cases (including 3 cases) of tuberculosis patients with epidemiological relevance are found, it can be considered that there are clustered tuberculosis cases in the kindergarten, and the following measures should be taken:

1, when a tuberculosis epidemic occurs in a kindergarten, it shall be reported in writing to the tuberculosis prevention and control institution in the jurisdiction immediately. Tuberculosis prevention and control institutions at all levels shall promptly verify the epidemic situation after receiving the report on the epidemic situation in kindergartens. Once diagnosed, we should immediately organize TB prevention and control professionals to enter kindergartens to carry out epidemiological investigations, track epidemic sources, screen close contacts, formulate control plans, and guide kindergartens to implement various prevention and control measures to prevent the spread of the epidemic.

2, the county (city, district) tuberculosis prevention and control institutions for kindergarten tuberculosis epidemic responsibility reporting unit, should be within 24 hours within the jurisdiction of the Health Bureau and the superior tuberculosis prevention and control institutions to report the time, place, spread, number, measures taken, the next work plan; After receiving the epidemic report, the Health Bureau of the jurisdiction and the higher-level TB control institutions should immediately participate in the investigation and handling, and report to the Provincial Health Department and the Provincial TB Control Office respectively within 24 hours. At the same time, inform the education administrative department at the same level of epidemic information.

3. Kindergartens should be instructed to explain the knowledge about TB prevention and treatment to teachers and parents of children, so as to eliminate the fear of teachers and parents of children and minimize the impact of TB epidemic on children's learning.

4, TB prevention and control institutions to close contacts found in epidemiological investigation should be timely screening of tuberculin, tuberculin test is generally positive or negative should pay attention to regular observation; For those who are strongly positive for tuberculin test, chest X-ray should be taken to determine whether they are active tuberculosis patients.

5. Children who are found to have strong positive tuberculin test in health examination and close contact screening, but have not found active tuberculosis focus, can be given preventive treatment of isoniazid plus rifapentine according to the prescribed scheme for three months after the informed consent of the children and their parents, and be reviewed regularly. Drug-induced prevention can be carried out in kindergartens, and the professionals of tuberculosis prevention and control institutions are responsible for guidance. Kindergarten clinics or specially trained epidemic reporting personnel are responsible for supervising and managing children to take drugs according to regulations, and observing possible adverse reactions. People suffering from mental illness, hepatitis, isoniazid poisoning and alcoholism should not take preventive drugs.

6. Patients with tuberculosis should be treated and managed in time to prevent the spread of tuberculosis in schools; Kindergartens can only let children with tuberculosis return to school after checking the certificate of permission to return to school issued by tuberculosis prevention and control institutions. Tuberculosis prevention and control institutions at all levels should be strictly controlled, and may not issue a certificate of permission to return to school for children with infectious diseases.