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  1. Outcomes of annual tuberculosis screening by Mantoux test in children considered to be at high risk : Results from one urban clinic.

    Article - En anglais

    Background

    In January 1994, the American Academy of Pediatrics recommended that annual screening with the purified protein derivative tuberculin skin test, Mantoux method, be used for tuberculosis screening in high-risk children.

    This test has a better sensitivity and specificity than the previously used multiple puncture test, and patients need to return for a reading done by palpation by a health care professional.

    Objective

    To estimate the prevalence of reactivity to purified protein derivative tuberculin in an urban primary care clinic whose patients meet high-risk criteria and to determine if annual screening is warranted, to determine the adherence to return to the clinic for reading of the skin test, and to describe the characteristics of patients who have tuberculosis infection and disease.

    Research Design

    Cross-sectional study.

    Setting.

    Inner-city, hospital-based primary care pediatric clinic in Baltimore, MD.

    Subjects

    A total of 1433 consecutive children attending this clinic from March through September, 1994, who were at risk for tuberculosis because of frequent exposure to poor and medically indigent city dwellers.

    Methods

    The Mantoux test (5TU intradermal injection of purified protein derivative) was administered to children at annual health supervision visits.

    Patients were tracked to determine those who returned for a reading by a health care professional and find those with a positive Mantoux test. (...)

    Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Dépistage, Enfant, Homme, Tuberculine PPD, Test cutané, Evaluation performance, Zone urbaine

    Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Medical screening, Child, Human, Tuberculin PPD, Skin test, Performance evaluation, Urban area

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

    Cote : 97-0349817

    Code Inist : 002B05B02O. Création : 12/09/1997.