Dobre V, Silaghi I, Müller A, Bărbosu I
Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Pneumoftiziol. 1982 Jul-Sep;31(3):187-94.
In view of evaluating the global efficiency of the epidemiologic investigation in relation to its area an analysis was carried out of 127 investigations involving 1 252 tb contacts. The contacts were classified in three groups: intrafamilial and intradomiciliary, intrafamilial but outside the home, and extrafamilial and outside the home; the results of the examinations were compared between them on the one hand and with the proportion of allergic children (51.6%) and the instantaneous prevalence of bacilli eliminating cases (0.31%) on the other hand. These were obtained in an area with a high endemic ratio of tuberculosis, following integral biological and radiophotographic case-finding. Children who were tb contacts, belonging to the first group also included the highest proportion of allergies (48.3%) while in the other two groups the number of allergic children was similar to that of allergic children in the locality with a high endemic ratio of tuberculosis. The radiophotographic examination of adults who were contacts of tuberculous patients showed that the lowest proportion of tuberculous patients with active tuberculosis (0.4%), which was found in the third group, was still above the instantaneous prevalence of bacilliferic patients from the area with high ratio of endemic tuberculosis. In conclusion, the present technical structure of epidemiological investigations corresponds to the actual level of the endemy and no group of contacts can be excluded from the investigation.
为了评估流行病学调查在其覆盖区域内的整体效率，对涉及1252名结核病接触者的127项调查进行了分析。接触者被分为三组：家庭内和住所内、家庭内但住所外、家庭外且住所外；一方面比较了他们之间的检查结果，另一方面将其与过敏儿童的比例（51.6%）和结核菌消除病例的即时患病率（0.31%）进行了比较。这些数据是在结核病高流行率地区通过完整的生物学和放射摄影病例发现获得的。属于第一组的结核病接触儿童中过敏比例也最高（48.3%），而在其他两组中，过敏儿童的数量与结核病高流行率地区的过敏儿童数量相似。对结核病患者接触者中的成年人进行的放射摄影检查表明，在第三组中发现的活动性结核病患者比例最低（0.4%），但仍高于结核病高流行率地区带菌患者的即时患病率。总之，目前流行病学调查的技术结构与实际流行水平相符，任何一组接触者都不能被排除在调查之外。
