无反应性会影响对高危人群的结核病筛查。
Anergy compromises screening for tuberculosis in high-risk populations.
作者信息
Zoloth S R, Safyer S, Rosen J, Michaels D, Alcabes P, Bellin E, Braslow C
机构信息
Montefiore Rikers Island Health Services, New York, NY.
出版信息
Am J Public Health. 1993 May;83(5):749-51. doi: 10.2105/ajph.83.5.749.
Abstract
Anergy may occur in groups at high risk for tuberculosis, compromising tuberculin skin testing. Within New York City's correctional system, anergy prevalence was 25% among opiate users referred to detoxification programs and 3% in the general population. Correlates of anergy were recent weight loss and needle sharing. The high prevalence of anergy among opiate users compromises the utility of tuberculosis screening and suggests the need for routine chest x-rays to detect pulmonary tuberculosis in some high-risk-populations.
摘要
无反应性可能出现在结核病高危人群中，影响结核菌素皮肤试验的结果。在纽约市的惩教系统中，转至戒毒项目的阿片类药物使用者中无反应性患病率为25%，而普通人群中为3%。无反应性的相关因素是近期体重减轻和共用针头。阿片类药物使用者中无反应性的高患病率影响了结核病筛查的效用，并表明需要对一些高危人群进行常规胸部X光检查以检测肺结核。
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