Doering D, Kocuipchyk R, Lester S
Capital Health, Regional Public Health TB Clinic, Edmonton, Alberta.
Can J Public Health. 1999 May-Jun;90(3):152-5. doi: 10.1007/BF03404496.
Current recommendations for tuberculosis control are to screen high risk populations and provide chemoprophylaxis for those infected. In Edmonton, Alberta, one strategy has been to identify and provide TB skin tests to newly arrived immigrant school age children from TB endemic areas. The difficulty has been in identifying these children in the school population. This article describes a process tried in 1993-94 to find a better approach and to determine the outcome of a concentrated effort at screening and follow-up of this population. Using this method, 1,146 students were TB skin tested using 5tu PPD: 15% showed significant reactions (10 mm), 89% were offered chemoprophylaxis, and 68% of those offered (84% of those accepting) completed 9 months of chemoprophylaxis. The success of this process was dependent on the dedicated follow-up provided by the specialty public health clinic devoted to the prevention and treatment of tuberculosis.
当前结核病控制的建议是筛查高危人群，并为感染者提供化学预防。在加拿大艾伯塔省的埃德蒙顿，一种策略是识别来自结核病流行地区的新移民学龄儿童，并为他们进行结核菌素皮肤试验。困难在于在学校人群中识别这些儿童。本文描述了1993 - 1994年尝试的一个过程，以找到更好的方法，并确定对该人群进行集中筛查和随访的结果。使用这种方法，对1146名学生进行了5结核菌素单位纯蛋白衍生物（5tu PPD）的结核菌素皮肤试验：15%的学生出现显著反应（10毫米），89%的学生被提供化学预防，其中68%被提供化学预防的学生（接受化学预防学生中的84%）完成了9个月的化学预防。这一过程的成功取决于专门致力于结核病预防和治疗的公共卫生专科诊所提供的专门随访。
