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[儿童结核病风险群体及化学预防方法原则]

[Tuberculosis risk groups among children and principles of approach to chemoprophylaxis].

作者信息

Mitinskaia L A, Elufimova V F, Iukhimenko N V, Kufakova G A, Demeshko N D

出版信息

Probl Tuberk. 1996(3):10-12.

PMID:8754865
Abstract

The trends in tuberculin reactions of Mantoux test (2 TU) performed annually before and after the diagnosis of tuberculosis shows that the risk groups consist of subjects with increasing tuberculin sensitivity and those susceptible to acute respiratory virus infections. An individual approach to prescription of chemoprophylaxis considering the number of risk factors (epidemiological, age-sex, biomedical, social) is advisable. Sanatorium chemoprophylaxis is needed in the presence of at least 2 factors. A 3-month isoniazid chemoprophylaxis prevents the disease and normalizes sensitivity to tuberculin.

摘要

在结核病诊断前后每年进行的曼托试验(2TU)结核菌素反应趋势表明,风险群体包括结核菌素敏感性增加的受试者以及易患急性呼吸道病毒感染的人群。考虑到风险因素(流行病学、年龄性别、生物医学、社会)的数量,采用个体化方法进行化学预防处方是可取的。至少存在2个因素时需要进行疗养院化学预防。为期3个月的异烟肼化学预防可预防疾病并使对结核菌素的敏感性恢复正常。

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