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[东德学龄儿童的特异性和非特异性结核菌素敏感性。欧洲特异性和非特异性结核菌素敏感性患病率多国流行病学研究的东德报告草案]

[Specific and nonspecific tuberculin sensitivity in school children in East Germany. East German draft report of a multinational epidemiologic study of the prevalence of specific and nonspecific tuberculin sensitivity in Europe].

作者信息

Scharkoff H, Merkel S, Ziemer H M

机构信息

Bezirksstelle für Lungenkrankheiten und Tuberkulose Cottbus, DDR.

出版信息

Z Erkr Atmungsorgane. 1988;170(2):148-60.

PMID:3261064
Abstract

By means of dual-testing with tuberculin (2 TU PPD RT 23 and 2 TE PPD Dessau) and sensitin Scrophulaceum (5 TU PPD scroph.) evidence and degree of specific and non-specific tuberculin sensitivity in schoolchildren aged 7-14 years was examined under the conditions of preceding BCG-vaccination as newborns in the counties of Cottbus, Erfurt and Neubrandenburg. In a cohort of 2,792 children sensitivity to tuberculin was found in 5.98% considering positive reactions with greater than or equal to 6 mm induration and in 1.50% considering reactions with greater than or equal to 10 mm only. Reactions with induration of 6 mm and more comprehend remaining allergy caused by BCG while the limit greater than or equal to 10 mm seems to be suitable to define tuberculosis infection prevalence. Tuberculin sensitivity shows frequencies corresponding with the epidemiology of tuberculosis. Sensitivity to PPD scroph. increases from north to south with significant difference between the counties of Neubrandenburg and Erfurt. Nonspecific tuberculin sensitivity is partly prevalent in the counties of Cottbus and Erfurt.

摘要

通过使用结核菌素(2 TU PPD RT 23和2 TE PPD Dessau)和结核菌素纯蛋白衍生物(5 TU PPD scroph.)进行双重检测,在科特布斯、爱尔福特和新勃兰登堡等县,对7至14岁曾在新生儿期接种过卡介苗的学童的特异性和非特异性结核菌素敏感性的证据及程度进行了检测。在2792名儿童队列中,硬结大于或等于6 mm的阳性反应时,结核菌素敏感性检出率为5.98%;仅考虑硬结大于或等于10 mm的反应时,检出率为1.50%。6 mm及以上硬结的反应包括卡介苗引起的残留过敏,而大于或等于10 mm的界限似乎适合定义结核感染率。结核菌素敏感性显示出与结核病流行病学相应的频率。对PPD scroph.的敏感性从北向南增加,新勃兰登堡县和爱尔福特县之间存在显著差异。非特异性结核菌素敏感性在科特布斯县和爱尔福特县部分流行。

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