Schuch P, Schicht A, Windorfer A
Dtsch Med Wochenschr. 1982 Sep 24;107(38):1429-31. doi: 10.1055/s-2008-1070142.
Tuberculosis was spread from a 15-year-old girl, treated for pneumonia with antibiotics for months and not separated from school, with open disease to a further 77 children. A 2 1/2-year-old niece developed open perforating bronchial lymph node tuberculosis, 34 companions from school and sports developed closed active lymph node tuberculosis and 42 pupils showed suspect chest radiographs with positive tuberculin tests. All of them had to be treated. Contact investigations in more than 1000 children became necessary in 3 steps. One student with open tuberculosis was found as source for a further 5 infected persons found by contact assessments. Proper individual prophylaxis can only be assured by BCG immunisation preventing such spread (disposition prophylaxis). It should be done as extensively as possible in newborn infants and in tuberculin negative children prior to leaving school.
一名15岁女孩患开放性肺结核，因肺炎接受了数月抗生素治疗且未与学校隔离，结核病传播给了另外77名儿童。一名2岁半的侄女患上开放性穿孔性支气管淋巴结结核，34名学校和体育活动同伴患上潜伏性活动性淋巴结结核，42名学生胸部X光片可疑且结核菌素试验呈阳性。他们所有人都必须接受治疗。有必要分三步对1000多名儿童进行接触者调查。发现一名开放性肺结核学生是通过接触评估发现的另外5名感染者的传染源。只有通过卡介苗免疫预防此类传播（预防性处置）才能确保适当的个体预防措施。应在新生儿以及结核菌素试验阴性的儿童离校前尽可能广泛地进行卡介苗免疫。
