Bozaykut A, Ipek I Ozahi, Ozkars M Y, Seren L Pulat, Atay E, Atay Z
Department of Pediatrics, Zeynep Kamil Education and Research Hospital of Maternity and Children's Diseases, Istanbul, Turkey.
Acta Paediatr. 2002;91(2):235-8. doi: 10.1080/080352502317285270.
Bacillus Calmette Guerin (BCG) vaccination used in the prevention of tuberculosis may cause problems in interpreting the tuberculin skin test (TST), which is commonly used in the diagnosis of infection. A limited number of studies have been undertaken to investigate how length of time after BCG vaccination affects TST results. TST induration values of unvaccinated children were compared with those of children vaccinated once in order to determine the changes in TST responses after BCG vaccination. Mantoux TSTs were administered to 1145 children aged 1-6 y and induration was measured at 72 h. BCG scar status and average TST induration diameters were identified for each age group.
Average TST induration in vaccinated children is significantly higher than that in unvaccinated children, and in the vaccinated group there is no statistically significant difference between induration values in the different age groups. BCG vaccination at the age of 0-2 mo affects TST for a long period and this condition does not change until 6 y of age.
用于预防结核病的卡介苗(BCG)接种可能会在解释结核菌素皮肤试验(TST)时引发问题,而TST常用于感染的诊断。已开展的研究数量有限,旨在调查卡介苗接种后时间长短如何影响TST结果。为确定卡介苗接种后TST反应的变化,将未接种儿童的TST硬结值与接种过一次的儿童的硬结值进行了比较。对1145名1至6岁儿童进行了曼托克斯TST,并在72小时测量硬结情况。确定了每个年龄组的卡介苗疤痕状态和平均TST硬结直径。
接种儿童的平均TST硬结明显高于未接种儿童,且在接种组中,不同年龄组的硬结值之间无统计学显著差异。0至2个月龄时接种卡介苗会在很长一段时间内影响TST,这种情况在6岁之前不会改变。