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  1. Prenatal purified protein derivative skin testing in a teaching clinic with a large Hispanic population. Discussions.

    Article, Communication - En anglais

    Annual Meeting of the Pacific Coast Obstetrical and Gynecological Society. British Columbia, CAN, 1998/09/16.

    OBJECTIVE 

    The purpose of this study was to evaluate a tuberculosis skin testing program in an outpatient obstetric teaching clinic.

    STUDY DESIGN 

    This was a retrospective chart review and economic analysis.

    Medical records of all patients in the clinic (n=1763) who were delivered of infants between 1993 and 1997 were reviewed.

    Fifty-four percent of the patients were Hispanic, and 38% were white.

    Epi Info 6.0 (X2 analysis) was used to calculate statistical significance.

    RESULTS 

    Overall, 15.2% of the skin test results were positive.

    Positive test results were found in 31.3% of Asians, 23.9% of Hispanics, 9.3% of black patients, and 4.1% of white patients.

    Hispanics had a relative risk for a positive purified protein derivative of 5.9 (3.9 to 8.8) compared with white patients.

    No chest x-ray films suggested active disease.

    CONCLUSION 

    Because the highest incidence of tuberculosis is in people of reproductive age, an effective tuberculosis screening protocol during pregnancy would be valuable in reducing the incidence of tuberculosis nationally.

    Projected savings of this program were $57,628.

    Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Poumon, Dépistage, Tuberculine, Test cutané, Prénatal, Etude comparative, Origine ethnique, Incidence, Analyse coût efficacité, Mère pathologie, Gestation, Caucasoïde, Adulte, Homme, Femelle, Mongoloïde, Négroïde, Etats Unis, Amérique du Nord, Amérique, Appareil respiratoire pathologie, Poumon pathologie, Hispano américain

    Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Lung, Medical screening, Tuberculin, Skin test, Prenatal, Comparative study, Ethnic origin, Incidence, Cost efficiency analysis, Maternal diseases, Pregnancy, Caucasoid, Adult, Human, Female, Mongoloid, Negroid, United States, North America, America, Respiratory disease, Lung disease

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

    Cote : 99-0393100

    Code Inist : 002B30A03B. Création : 22/03/2000.