Mihăilescu P, Calciu B, Vlas E, Voicu T
Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Pneumoftiziol. 1976 Jan-Mar;25(1-2):13-6.
In four technical schools in a Burcharest district, the first grade scholars were tested at the beginning of the term with 2 units PPD; those with a reaction of 0--9 mm received BCG vaccine. After 6 months, in the 3rd term, they were controlled by MMR examination which was repeated in the second year. The incidence of tuberculosis detected by X-ray and clinically was of 298.8 per 100 000 in the frist year and 283.6 per 100000 in the second year. In all disease cases but one the intradermoreation and greater than or equal to 15 mm which may thus be considered the risk group (a risk of 9.5 per thousand); there were no cases among the children revaccinated with BCG. In conclusion it is recommended to apply in adolescent communities tuberculin testing and BCG revaccination of the non-infected children 0--9 mm) in their first term and periodical X-ray control of the risk group, i.e. those with a reaction of 15 mm or more.
在布加勒斯特一个区的四所技术学校里,一年级学生在学期开始时用2个单位的PPD进行检测;那些反应为0至9毫米的学生接种卡介苗。6个月后,在第三学期,对他们进行MMR检查,并在第二年重复检查。通过X射线和临床检测出的结核病发病率在第一年为每10万人298.8例,在第二年为每10万人283.6例。在所有病例中,除了一例,皮内反应均大于或等于15毫米,因此可将其视为风险组(每千例中有9.5例风险);在重新接种卡介苗的儿童中没有病例。总之,建议在青少年群体中对未感染的儿童(0至9毫米)在第一学期进行结核菌素检测和卡介苗重新接种,并对风险组,即反应为15毫米或以上的儿童进行定期X射线检查。