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一项关于哮喘儿童对结核分枝杆菌迟发型超敏反应与特应性之间关联的研究。

A study of the association between delayed type hypersensitivity reaction to mycobacterium tuberculosis and atopy in asthmatic children.

作者信息

Omar Mohamed T, Ahmed Siham H, Sarkis Nadia N

机构信息

Pediatric Department, Damanhour Medical National Institute.

出版信息

J Egypt Public Health Assoc. 2005;80(3-4):463-74.

Abstract

UNLABELLED

The purpose of this study was to investigate if there is an inverse association between Mycobacterium tuberculosis infection and atopy among children living in rural and semi urban areas in El Behira governorate, Egypt.

METHODS

All the studied children were BCG vaccinated in their newborn period. In Tuberculin testing, indurations greater than or equal to 5 mm were accepted as positive. For atopy, the most common aeroallergens were used in skin intradermal testing, and reactions > or = 3 mm were accepted as positive.

RESULTS

Among 150 studied children whose ages ranged from 4-8 years, 89 patients were purified protein derivative (PPD) negative whereas in 61 patients PPD was positive. Among the PPD negative patients skin intradermal test was positive for atopy in 51.6% (n = 46), while among the PPD positive patients skin intradermal test was positive in 52.4% (n = 32). As the two groups were compared for having positive intradermal skin test reaction, no statistically significant difference was detected between them (p >0.05).

CONCLUSIONS

In this study no statistically significant difference was detected between Mycobacterium tuberculosis infection as indicated by positive PPD positivity and atopy tested by skin intradermal injection of common aeroallergens.

摘要

未标注

本研究的目的是调查在埃及贝希拉省农村和半城市地区生活的儿童中,结核分枝杆菌感染与特应性之间是否存在负相关。

方法

所有研究儿童在新生儿期均接种了卡介苗。结核菌素试验中,硬结大于或等于5毫米被视为阳性。对于特应性,在皮肤皮内试验中使用最常见的空气过敏原,反应大于或等于3毫米被视为阳性。

结果

在150名年龄在4至8岁的研究儿童中,89名患者纯化蛋白衍生物(PPD)阴性,而61名患者PPD阳性。在PPD阴性患者中,皮肤皮内试验特应性阳性率为51.6%(n = 46),而在PPD阳性患者中,皮肤皮内试验阳性率为52.4%(n = 32)。当比较两组皮内皮肤试验反应阳性情况时,未发现它们之间有统计学显著差异(p > 0.05)。

结论

在本研究中,PPD阳性所表明的结核分枝杆菌感染与通过皮内注射常见空气过敏原进行检测的特应性之间未发现统计学显著差异。

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