Palomo Pinto M, Rodríguez Martín-Millares C, Ayerbe Mateo-Sagasta T
Centro de Salud de Majadahonda, Madrid.
Rev Esp Salud Publica. 1996 May-Jun;70(3):345-9.
Tuberculosis has reappeared in developed countries, and Spain is no exception. The aim of this study is to find out the degree of prevalence of tuberculosis infection and the rate of tuberculosis infection in a shanty town occupied by Moroccan immigrants.
Using one case of active pulmonary tuberculosis in a Moroccan citizen, immigrant and resident in a settlement of slums, a contact study was undertaken with the collaboration of social workers and a Moroccan sociologist who lived in the same shanty town, who acted as interpreter. A tuberculosis test was carried out applying PPD in the Health Centre, to 80% of the residents, offering an extremely flexible timetable and no bureaucratic red tape. The inoculations, records and Mantoux readings were performed by two nurses at the Health Centre.
Mantoux cover was 83.3%. The proportion with a tuberculosis infection was 77.7%; five cases were diagnosed as pulmonary tuberculosis (13.8%).
The rate of tuberculosis found (77.7%) is considerably higher than other findings published with respect to other fringe groups living in Spain (30%).
结核病在发达国家再度出现，西班牙也不例外。本研究旨在查明摩洛哥移民聚居的棚户区结核病感染的流行程度和感染率。
以一名居住在贫民窟定居点的摩洛哥公民、移民且患有活动性肺结核的患者为例，在一名居住在同一棚户区的摩洛哥社会学家（担任翻译）和社会工作者的协作下开展了一项接触者研究。在健康中心对80%的居民进行了结核菌素皮肤试验（PPD），提供了极为灵活的时间表且无繁琐的官僚手续。接种、记录和曼托试验读数由健康中心的两名护士进行。
曼托试验覆盖率为83.3%。结核病感染比例为77.7%；五例被诊断为肺结核（13.8%）。
所发现的结核病感染率（77.7%）大大高于西班牙其他边缘群体的已发表研究结果（30%）。
