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六位结核菌素皮肤试验阅片者之间缺乏变异性的证明。

A demonstration of lack of variability among six tuberculin skin test readers.

作者信息

Perez-Stable E J, Slutkin G

出版信息

Am J Public Health. 1985 Nov;75(11):1341-3. doi: 10.2105/ajph.75.11.1341.

DOI:10.2105/ajph.75.11.1341
PMID:4051078
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1646719/
Abstract

The variability of tuberculin skin test readings among six trained and experienced readers was evaluated using a modified sliding caliper method. Each of 537 tests were read independently by two readers. There were 23 disagreements between paired readers resulting in an overall interobserver reliability of 95.7 per cent. In 82 per cent of the paired readings the results were different by 2 mm or less. The observer lack of variability was likely due to the training and experience of the readers.

摘要

采用改良游标卡尺法评估了六位训练有素且经验丰富的阅片者之间结核菌素皮肤试验读数的变异性。537项检测中的每一项均由两位阅片者独立读取。配对阅片者之间存在23处分歧,观察者间总体可靠性为95.7%。在82%的配对读数中,结果差异在2毫米或更小。观察者变异性低可能归因于阅片者的培训和经验。

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本文引用的文献

1
Quantitative aspects of the intradermal tuberculin test in humans. II. The relative importance of accurate injection technique.人体皮内结核菌素试验的定量方面。II. 准确注射技术的相对重要性。
Acta Tuberc Scand. 1954;30(1-2):16-36.
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A STUDY OF VARIABILITY IN TUBERCULIN TEST READING.结核菌素试验读数变异性的研究
Am Rev Respir Dis. 1964 Dec;90:913-9. doi: 10.1164/arrd.1964.90.6.913.
3
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Chest. 1980 Feb;77(2):190-3. doi: 10.1378/chest.77.2.190.
4
Interobserver and method variability in tuberculin skin testing.结核菌素皮肤试验中的观察者间及方法差异
Pediatr Infect Dis. 1984 Jul-Aug;3(4):323-6. doi: 10.1097/00006454-198407000-00010.
5
Tuberculin skin test reactions. Effects of revised classification on comparative evaluations.结核菌素皮肤试验反应。修订分类对比较评估的影响。
Am Rev Respir Dis. 1972 Nov;106(5):752-8. doi: 10.1164/arrd.1972.106.5.752.
6
False tuberculin test results.结核菌素试验结果为假阳性。
Chest. 1975 Sep;68(3 Suppl):465-9. doi: 10.1378/chest.68.3_supplement.465.
7
Editorial: Measurement of delayed skin-test responses.社论:迟发性皮肤试验反应的测量
N Engl J Med. 1975 Sep 4;293(10):501-2. doi: 10.1056/NEJM197509042931013.