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[风险组在儿童结核病学中的意义]

[Significance of risk groups in pediatric phthisiology].

作者信息

Sirenko I A, Podoprigora N M, Marchenko O Iu, Shmat'ko S A

出版信息

Probl Tuberk Bolezn Legk. 2006(9):31-3.

Abstract

Detailed analysis of risk factors in 161 children with pulmonary tuberculosis has established that tuberculosis risk-group children are ill in most cases (82.6%). Examining the results of annual tuberculin diagnosis in 2478 children aged 1 to 14 years in a children's city polyclinic could ascertain that the most risk groups comprise children with a conversion of tuberculin tests (5.2%) and tuberculosis-infected children with increased tuberculin sensitivity (7%) who are the basic contingent of followed up local district pediatric phthisiologists. The priorities of activities of pediatric phthisiology involve the detection of tuberculosis risk groups by the general pediatric service by the tuberculin diagnostic technique under the guidance of a phthisiological service and the choice of individual management policy by their pediatric phthisiologists.

摘要

对161例儿童肺结核患者的危险因素进行详细分析后发现,处于结核病风险组的儿童大多患病(82.6%)。通过对某儿童城市综合门诊2478名1至14岁儿童的年度结核菌素诊断结果进行检查,可以确定,风险最高的群体包括结核菌素试验结果呈阳转的儿童(5.2%)以及结核菌素敏感性增加的结核感染儿童(7%),他们是当地儿科结核病防治医生随访的主要对象。儿科结核病防治工作的重点包括,在结核病防治服务的指导下,由普通儿科服务部门通过结核菌素诊断技术检测结核病风险组,并由儿科结核病防治医生选择个体管理策略。

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