结核病流行地区一家三级医院农村就诊人群中的结核菌素试验（曼托试验）未受检者
Mantoux test defaulters in rural population attending tertiary care hospital in a tuberculosis endemic area.
作者信息
Faujdar Sameer Singh, Singh Uday, Kumar Satish, Mehrishi Priya, Sharma Amisha, Dutta Aayushi
机构信息
Department of Microbiology, Maharishi Markandeshwar Medical College and Hospital, Maharishi Markandeshwar University, Solan, Himachal Pradesh, India.
Health and Family Welfare Department, Zonal Hospital, Dharamshala, Himachal Pradesh, India.
出版信息
J Family Med Prim Care. 2022 Feb;11(2):677-679. doi: 10.4103/jfmpc.jfmpc_1355_21. Epub 2022 Feb 16.
BACKGROUND
Tuberculosis (TB) is one of the main causes of mortality among infectious diseases. The prevalence of tuberculosis is very high in developing countries such as India. Mantoux test is frequently used for the diagnosis of latent or active tuberculosis despite low sensitivity and specificity. However, the Mantoux test is a crucial test in a resource-less setup for the diagnosis of TB. Therefore, the main purpose of this study was to find the dropout rate and dropout reasons in Mantoux testing.
METHODOLOGY
All suspected TB patients attending out-patient department and further tested for Mantoux test.
RESULTS
Of the total 789 Mantoux tests, 459 (58%) were negative, 195 (25%) were positive, and 135 (17%) were dropouts. One of the main reasons for dropout was patients did not give importance to the Mantoux test.
CONCLUSION
Dropout rate in Mantoux testing can be reduced by patient counseling regarding TB and Mantoux test by the doctor.
背景
结核病是传染病致死的主要原因之一。在印度等发展中国家，结核病的患病率非常高。尽管结核菌素皮肤试验（曼托试验）的敏感性和特异性较低，但它仍经常用于潜伏性或活动性结核病的诊断。然而，在资源匮乏的环境中，曼托试验是结核病诊断的关键检测方法。因此，本研究的主要目的是找出曼托试验的漏检率及漏检原因。
方法
所有到门诊就诊的疑似结核病患者均接受进一步的曼托试验检测。
结果
在总共789次曼托试验中，459次（58%）为阴性，195次（25%）为阳性，135次（17%）为漏检。漏检的主要原因之一是患者不重视曼托试验。
结论
医生通过对患者进行结核病及曼托试验相关的咨询，可以降低曼托试验的漏检率。
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