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  1. Self-assessment of tuberculin skin test reactions by New York City firefighters : Reliability and cost-effectiveness in an occupational health care setting.

    Article - En anglais


    To determine whether self-assessment of purified protein derivative of tuberculin (PPD) skin test reactions, done using a simple two-choice approach, is an effective screening method for tuberculosis.


    Double-blind comparison between self-assessments and trained professional readings of PPD skin test reactions, done 72 hours after test administration.


    The New York City Fire Department's Bureau of Health Services Participants : 2011 New York City firefighters and fire officers were given PPD skin tests during a mandatory retraining course.

    Thirty-seven persons were excluded because of a history of a positive PPD skin test result or a bacille Calmette-Guérin vaccination.

    All others agreed to participate in testing and self-assessment done using simple written instructions.

    Self-assessment results were submitted just before trained professional readings were done.


    Self-assessments and trained professional readings of PPD skin test reactions.


    1833 participants (91%) interpreted their test reactions as flat.

    Of these interpretations, 1824 (99.5%) matched the professional reading and 9 (0.5%) did not.

    One hundred seventy-eight participants (9%) interpreted their test reactions as not flat ; 136 of these interpretations (76.4%) matched the professional reading and 42 (23.6%) did not (K=0.828 ; lower 95% confidence limit=0.790).

    The predictive value of a negative self-assessment reading was 99. (...)

    Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Tuberculine, Test cutané, Diagnostic, Coût, Homme

    Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Tuberculin, Skin test, Diagnosis, Costs, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0385824

    Code Inist : 002B30A01C. Création : 10/04/1997.