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[采用两阶段皮内曼氏反应诊断医院工作人员的职业性肺结核]

[The diagnosis of occupational tuberculosis of hospital personnel using the 2-stage intradermal Mantoux reaction].

作者信息

Cérat G, Thibault F, Duc Y

出版信息

Union Med Can. 1989 Jul-Aug;118(4):158-60.

PMID:2603249
Abstract

Tuberculin skin testing was undertaken among employees of Cité de la Santé in contact with patients when the hospital was first opened in 1978. Since January 1980, two-step testing was done. The rate of the booster phenomenon was 6.9%. In well-documented BCG vaccinated personnel, almost 80% had easily interpretable reactions, either negative or significant. From our data and other data in the literature, we conclude that two-step tuberculin testing should be used if tuberculin skin testing of hospital employees is done in order to detect the booster phenomenon and not to conclude falsely in tuberculin conversion in a subsequent testing.

摘要

1978年圣城医院首次开业时,对与患者接触的医院员工进行了结核菌素皮肤试验。自1980年1月起,采用了两步法检测。增强反应现象的发生率为6.9%。在有充分记录的接种卡介苗的人员中,近80%的人有易于解释的反应,要么为阴性,要么为显著阳性。根据我们的数据以及文献中的其他数据,我们得出结论:如果对医院员工进行结核菌素皮肤试验是为了检测增强反应现象,而不是在后续检测中错误地判定结核菌素转换,则应采用两步法结核菌素检测。

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