Styblo K, Ferlinz C
Deutsches Zentralkomitee zur Bekämpfung der Tuberkulose III. Med. Universitätsklinik-Pneumologie, Mainz.
Pneumologie. 1994 Feb;48(2):151-5.
It is evident from follow-up studies of tuberculosis in the Netherlands (without BCG vaccination), Sweden (discontinuation of BCG vaccination since 1975) and in both parts of Germany (FRG discontinuation since 1975), as well as from the favourable tuberculosis situation in both parts of Germany (low tuberculosis incidence and very low infection risk) that general vaccination of babies is no longer warranted. For this reason the German Central Committee for Combatting Tuberculosis is considering in consultation with the Federal Bureau of Health to abstain from continuing to recommend general BCG vaccination of all newborn. BCG vaccination should be recommended only in enhanced-risk groups (children of foreign parents and children sharing their living quarters or household with a person suffering from acute, i.e. infectious tuberculosis).
从荷兰(未接种卡介苗)、瑞典(自1975年起停止接种卡介苗)以及德国两部分地区(联邦德国自1975年起停止接种)的结核病随访研究中可以明显看出,同时鉴于德国两部分地区良好的结核病状况(低结核病发病率和极低的感染风险),对婴儿进行普遍接种已不再必要。因此,德国防治结核病中央委员会正在与联邦卫生局协商,考虑不再继续建议对所有新生儿进行普遍的卡介苗接种。卡介苗接种应仅推荐给高危人群(外籍父母的子女以及与急性(即传染性)结核病患者同住或共居一室的儿童)。