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[新风险群体儿童结核病的检测及化学预防效果]

[Detection of tuberculosis in children of new risk groups and efficacy of chemoprophylaxis].

作者信息

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

机构信息

Central NII of Tuberculosis RAMN, Moscow.

出版信息

Probl Tuberk. 1996(6):33-5.

PMID:9019765
Abstract

109 children at risk of tuberculosis frequently suffering from acute respiratory diseases (ARD) and 87 children with rare ARD have undergone a 3-month course of isoniazide chemoprophylaxis. In 95.0% of the examinees the above chemoprophylaxis lowered ARD morbidity to 1-2 times a year, reduced and stabilized tuberculin sensitivity, prevented tuberculosis. Isoniazide treatment of 87 children whose parents worked with cattle that might be infected prevented tuberculosis in them, diminished tuberculin sensitivity. It is thought valid that chemoprophylaxis should be given in sanatoria primarily to children exposed to two and more risk factors (epidemiological, age-sex, medicobiological, social).

摘要

109名经常患急性呼吸道疾病(ARD)的结核病高危儿童和87名患ARD较少的儿童接受了为期3个月的异烟肼化学预防疗程。在95.0%的受检者中,上述化学预防措施将ARD发病率降至每年1 - 2次,降低并稳定了结核菌素敏感性,预防了结核病。对87名父母从事可能接触受感染牛工作的儿童进行异烟肼治疗,预防了他们患结核病,降低了结核菌素敏感性。认为疗养院主要应对暴露于两种及更多风险因素(流行病学、年龄性别、医学 - 生物学、社会)的儿童进行化学预防是有效的。

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