Vlasenko S N, Motanova L N
Probl Tuberk Bolezn Legk. 2005(1):33-5.
The authors studied the use of comprehensive individual tuberculin diagnosis (scarification skin test, intradermal titer) in the differential diagnosis of the nature of tuberculin sensitivity in children referred for examinations by physiological pediatricians for the diagnosis of a turn of tuberculin tests and the formation of registry group VIA. The use of this procedure was found to avoid the hyperdiagnosis of a turn of tuberculin tests in as high as 55.8%, to improve the diagnosis of hyperergic reactions to tuberculin, and to detect an occult false hyperergic reaction. Moreover, there is a possibility of observing the changes in individual sensitivity in Registry Group 0 children, which contributes to their more timely transfer to Group VIA. Analyzing the results shows that the use of comprehensive tuberculin diagnosis promotes the optimization of a system of preventive measures aimed at preventing tuberculosis in children.
作者研究了综合个体结核菌素诊断(划痕皮肤试验、皮内滴定法)在生理儿科医生转诊进行结核菌素试验结果诊断及VIA登记组形成检查的儿童结核菌素敏感性性质鉴别诊断中的应用。发现使用该方法可避免高达55.8%的结核菌素试验结果过度诊断,改善对结核菌素超敏反应的诊断,并检测出隐匿性假超敏反应。此外,有可能观察0登记组儿童个体敏感性的变化,这有助于他们更及时地转入VIA组。分析结果表明,使用综合结核菌素诊断有助于优化旨在预防儿童结核病的预防措施体系。