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Is tuberculin skin testing useful to diagnose latent tuberculosis in BCG-vaccinated children?

Abstract：

BACKGROUND:The tuberculin skin test (TST) is the most commonly used tool to detect infection with Mycobacterium tuberculosis. We sought to determine whether tuberculin skin testing is useful to detect latent infection by M. tuberculosis in a population that was vaccinated with the Bacille Calmette Guérin (BCG) vaccine. METHODS:We performed a cross-sectional study during October 2000-February 2001, enrolling first and sixth graders from a random, stratified sample of public elementary schools in Orizaba, Veracruz, Mexico. We assessed the relationship between sociodemographic and epidemiological information, BCG scars, and TST reactivity. RESULTS:There were 858 children enrolled in the study with a completed questionnaire and TST result. The prevalence of a positive TST result (> or =10 mm) was 12.4%. Controlling for BCG scar, age, and other characteristics, close contact with pulmonary tuberculosis patients (odds ratio 6.56, 95% confidence interval 2.05-21.07, P = 0.001) was independently associated with TST reactivity. CONCLUSIONS:TST results helped identify children in a BCG-vaccinated population who had recent exposure to persons with pulmonary tuberculosis, were probably infected with M. tuberculosis, and could benefit from treatment for their latent tuberculosis infection.

journal_name

Int J Epidemiol

journal_title

International journal of epidemiology

authors

García-Sancho F MC,García-García L,Jiménez-Corona ME,Palacios-Martínez M,Ferreyra-Reyes LD,Canizales-Quintero S,Cano-Arellano B,Ponce-de-León A,Sifuentes-Osornio J,Small P,DeRiemer K

doi

10.1093/ije/dyl213

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

1447-54

issue

6

eissn

0300-5771

issn

1464-3685

pii

dyl213

journal_volume

35

pub_type

杂志文章

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