[Guidelines for the prevention and control of tuberculosis in health care workers].


:Tuberculosis remains one of the communicable diseases that cause increased morbidity and mortality worldwide. With an incidence rate of 13,04 per 100,000 population, Spain ranks third among the most affected European countries. These data show a tendency to decrease meaning that it may go unnoticed with the potential to miss the appropriate preventive measures in a suspected case. In centers where patients are treated with tuberculosis, health care worker presents risk of transmission. This risk is higher in some areas or work units. The Occupational health physicians' services, which monitorize the health of health care workers, use different strategies in order to prevent and detect tuberculosis infection. The national guidelines include the tuberculin skin test as a screening test for tuberculosis infection with mention of new diagnostic tests based on the in vitro detection of gamma interferon (IGRA) for certain cases. The purpose of this guide is to establish common criteria for IGRA tests, as a supplementary aid to the tuberculin skin test in health care workers, from the evidence available today. Recommendations for its use have been adapted to the different situations faced by the professionals involved in monitoring the health of health workers.


Med Clin (Barc)


Medicina clinica


Casas I,Dominguez J,Rodríguez S,Matllo J,Altet N,SEPAR.,GEIM.,SEIMC.,AEEMT.,Programa de Prevención y control de la Tuberculosis (Catalan Public Health Agency).




Has Abstract


2015-12-21 00:00:00














  • [Correlation between the Morris' index and pulmonary capillary pressure in patients with acute myocardial infarction].

    abstract::The authors study the usefulness of the measurement of the negative area of P in V1 (Morris' index) in patients with acute myocardial infarction. The study was carried out prospectively in 70 patients, 31 of them having a Swan-Ganz catheter inserted permitting simultaneous hemodynamic and electrocardiographic measurem...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Fiol Sala M,Abizanda Campos R,Orellana Mas J,Jaume Tomas G,Vallés J,García Moris S

    更新日期:1981-03-10 00:00:00

  • [Carboxyhemoglobin levels and risk factors of carbon monoxide poisoning in children;].

    abstract:BACKGROUND:To determine carboxyhemoglobin levels and to investigate carbon monoxide poisoning risk in children. PATIENTS AND METHODS:We determine carboxyhemoglobin blood levels by cooximetry in 65 children, between 15 days and 15 years attended in a pediatric emergency section. We analyze carbon monoxide risk factors ...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Vázquez P,López-Herce J,Galarón P,Merello Godino C

    更新日期:1997-01-11 00:00:00

  • [Asbestos pulmonary content in workers of Ferrol shipyards, Spain].

    abstract:BACKGROUND AND OBJECTIVE:In the last years, a study is being conducted about exposure to asbestos among shipyards workers in order to know the diagnosis of the diseases associated with the exposure. Our goal was to know the asbestos pulmonary contents in this population. MATERIAL AND METHODS:We obtained autopsy pulmon...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Diego C,Velasco-García MI,Cruz MJ,Untoria MD,Morell F,Ferrer J

    更新日期:2013-02-16 00:00:00

  • Metabolic risk factors in a cohort of young adults and their association with a body-mass index between 22 and 25 kg/m2.

    abstract:BACKGROUND AND OBJECTIVES:Although health risks associated to excessive body fat increase with small increases in body weight, measurement of body fat is usually grouped in very few categories. The aim of our study was to assess whether the risk for a combined end-point including the incidence of either hypertension an...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Toledo E,Beunza JJ,Núñez-Córdoba JM,Bes-Rastrollo M,Basterra-Gortari FJ,Martínez-González MA

    更新日期:2009-05-09 00:00:00

  • [Clinical factors associated with bone mass loss previous cardiac transplantation].

    abstract:BACKGROUND:A high prevalence of osteoporosis has been described in patients before and after cardiac transplantation. But clinical factors involved in previous bone loss in this condition are not well known. The purpose has been to study bone mineral density (BMD) in patients subject to cardiac transplantation, analyzi...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: García Delgado I,Gil-Fraguas L,Robles E,Martínez G,Hawkins F

    更新日期:2000-05-27 00:00:00

  • [Autoinflammatory syndromes].

    abstract::Autoinflammatory syndromes are characterised by recurrent or persistent inflammation with no increase in the antibody titers or antigen-specific T lymphocytes, and absence of infection. Initially, they included the hereditary periodic fever syndromes, a group of innate immune system monogenic diseases characterised by...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审


    authors: Antón J

    更新日期:2011-01-01 00:00:00

  • [What is a "poison"? Proposal of definition].

    abstract::We discuss different interpretations of the term poison as well as the need of bringing up to date the changes in this matter according to the science progress. A clear and exact definition is proposed after analysing the factors that affect the relativity of the concept and its boundaries. The proposal for a definiti...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Guitart R,Giménez N

    更新日期:2012-02-18 00:00:00

  • [Therapeutic applications of stem-cells].

    abstract::In the last years stem cells (SC) have generated huge expectations and have become a new hope for the development of novel cell therapies in the context of regenerative medicine. So far, the hypothetic therapeutic effects of SC, both of embryonic and adult origin, have been demonstrated only in a very few cases. Embry...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审


    authors: Barquinero J,Pellicer M,Pétriz J

    更新日期:2005-04-09 00:00:00

  • [Comparative effectiveness of alpha-2 adrenergic agonists (clonidine-guanfacine) in the hospital detoxification of opiate addicts].

    abstract::The usefulness of two alpha-2 adrenergic agonists (clonidine and guanfacine) and their comparative effectiveness were evaluated regarding the control of the opiates abstinence syndrome and the secondary effects, including development of cardiovascular abnormalities, in 88 parenteral heroin abusers admitted to two hosp...

    journal_title:Medicina clinica

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Muga R,Tor J,Forteza-Rei J,Jacas C,Altés J,Mestre L

    更新日期:1990-02-10 00:00:00

  • [LDL concentration and particle size after treatment with rosiglitazone in patients with diabetes mellitus type 2].

    abstract:BACKGROUND AND OBJECTIVE:The effects of rosiglitazone on the lipid profile are controversial, with related increases in the concentration of total and LDL cholesterol. Our objective is to evaluate the evolution of the concentration and size of LDL particles in a group of patients with type 2 diabetes mellitus taking ro...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Albaladejo Otón MD,Calle Luna JG,Granero Fernández E,Hernández Martínez AM,Parra Pallarés S,Martínez Hernández P

    更新日期:2009-01-31 00:00:00

  • Relationship between diffuse idiopathic skeletal hyperostosis, abdominal aortic calcification and associated metabolic disorders: Data from the Camargo Cohort.

    abstract:BACKGROUND AND OBJECTIVE:Diffuse idiopathic skeletal hyperostosis (DISH) and abdominal aortic calcification (AAC) are related to an increased cardiovascular risk. The aim of this study was to analyse a possible relationship between both entities and also the association between metabolic disorders and DISH. PATIENTS A...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Pariente-Rodrigo E,Sgaramella GA,Olmos-Martínez JM,Pini-Valdivieso SF,Landeras-Alvaro R,Hernández-Hernández JL

    更新日期:2017-09-08 00:00:00

  • [Treatment of acute infection of total or partial hip arthroplasty with debridement and oral chemotherapy].

    abstract:BACKGROUND AND OBJECTIVE:The suitable antibiotic(s) and duration of treatment for hip prosthesis acute infections (HPAIs) has not been clearly defined. PATIENTS AND METHOD:We studied 32 patients whose HPAI was diagnosed within 2 months after surgery. All patients underwent debridement and samples were taken for cultur...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Soriano A,García S,Ortega M,Almela M,Gallart X,Vila J,Sierra J,Tomas X,Martínez JA,Mensa J

    更新日期:2003-06-21 00:00:00

  • [Biases in the study of prognostic factors].

    abstract::The main objective is to detail the main biases in the study of prognostic factors. Confounding bias is illustrated with social class, a prognostic factor still discussed. Within selection bias several cases are commented: response bias, specially frequent when the patients of a clinical trial are used; the shortcomin...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审


    authors: Delgado-Rodríguez M

    更新日期:1999-01-01 00:00:00

  • [Prevalence of hepatitis B and hepatitis A virus infection among health sciences students in Catalonia, Spain].

    abstract:BACKGROUND:To know current hepatitis B (HBV) and hepatitis A (HAV) infection status among a group of health sciences students during 1990-1993 period. SUBJECTS AND METHODS: SUBJECTS:1,734 health sciences students during 1990-1991, 1992-1993 and 1993-1994 academic years. MAIN OUTCOME MEASURES:demographic variables, v...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Bayas JM,Bruguera M,Vilella A,Carbó JM,Vidal J,Navarro G,Nebot X,Prat A,Salleras L

    更新日期:1996-09-14 00:00:00

  • Value of protein concentration in cerebrospinal fluid in paediatric patients with Guillain-Barre syndrome.

    abstract:INTRODUCTION AND OBJECTIVE:The albumin-cytologic dissociation in cerebrospinal fluid (CSF) supports the diagnosis of Guillain-Barre syndrome (GBS) but does not support the prognosis, so the aim of this study is to determine the usefulness of protein numbers in the CSF to predict progression in paediatric patients. PAT...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Vidrio-Becerra ME,Valle-Leal J,Loaiza-Sarabia ME,Alvarez-Bastidas L,Lachica-Valle JI,López-Morales CM

    更新日期:2018-05-11 00:00:00

  • [Pulmonary function and quality of life in relation to bronchial colonization in adults with bronchiectasis not caused by cystic fibrosis].

    abstract:BACKGROUND:We aimed at assessing the pulmonary function and life quality of patients with bronchiectasis not caused by cystic fibrosis (CF) on the basis of the presence or absence of colonization (with Pseudomonas or other microorganisms). PATIENTS AND METHOD:Prospective, randomised control-case study of patients with...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Hernández C,Abreu J,Jiménez A,Fernández R,Martín C

    更新日期:2002-02-09 00:00:00

  • [Value of pulse pressure as a cardiovascular risk marker].

    abstract::Pulse pressure is calculated as the difference between the systolic and diastolic components of arterial blood pressure. Epidemiological studies have demonstrated that pulse pressure elevation directly correlates with cardiovascular mortality and morbidity, as well as with target organ damage. From a pathophysiologica...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审


    authors: de la Sierra A

    更新日期:2006-03-18 00:00:00

  • [Meningoencephalomyelitis caused by Borrelia burgdorferi: a case without epidemiologic history or chronic migratory erythema].

    abstract::A patient is reported with meningoencephalomyelitis with polyradiculitis caused by Borrelia burgdorferi infection. Neurological features developed without previously known tick bite nor the characteristic skin lesion, chronic migratory erythema (CME). The vector of the disease (the tick Ixodes ricinus) exists in Spain...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Ponz E,Graus F,Alvarez R,Sarmiento X,Vidal J,Grau JM

    更新日期:1989-09-09 00:00:00

  • [Contribution of magnetic resonance imaging in the early diagnosis of epidural metastasis].

    abstract:BACKGROUND:Vertebral bone metastases represent the most frequently affected region within the skeleton. They are of important relevance because of the risk of medullar compression. The diagnosis of medullar canal invasion is of particular interest in order to prevent neurological dysfunction. A prospective study was ca...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Verger E,Conill C,Vila A,Pomés J,Graus F,Biete A

    更新日期:1992-09-26 00:00:00

  • [Use of screening mammography and its demographic and risk determinants in women 25 to 65 years of age].

    abstract:BACKGROUND:To know the utilization of the screening mammography among women from 25 to 65 years old in an urban health zone, where there is not an specific screening program for breast cancer. To detect the demographic and risk determinants that are involved in the mammography screening use. SUBJECTS AND METHODS:A sam...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Simó Miñana J,Gaztambide Ganuza M,Morote Sanchís MV,Palazón Ferrer G,Gálvez Candel J,Salto Sánchez ML,Peñarroja González D,Hernández Aguado I

    更新日期:1997-05-24 00:00:00

  • [Parotiditis in postvaccination period. Epidemiologic pattern and vaccine effectiveness in an epidemic outbreak].

    abstract:BACKGROUND:Upon the detection of an excess number of cases of parotiditis in La Almolda (Zaragoza) a descriptive study of the epidemic was carried out with vaccination efficacy being quantified. METHODS:The definition and system of detection of the cases was established. To calculate the rate of infection the availabl...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Guimbao Bescós J,Moreno Marín MP,Gutiérrez Colás V,Pac Sá MR,Arribas Monzón F

    更新日期:1992-09-19 00:00:00

  • [Perinephritic abscesses: a review of 50 cases (author's transl)].

    abstract::Accumulation of pus in the perinephritic cavity often gives rise to doubtful clinical manifestations, which hinder and delay prompt diagnosis of this severe process. The clinical, biological, radiological and therapeutic characteristics of 50 cases are reviewed; all were confirmed by either surgery or necropsy. The mo...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Pigrau Serrallach C,Bosch Gil J,Ordi Ros J,Tornos Solano J,Magriñá Ferrer N,Quintanilla Muńoz V

    更新日期:1981-07-15 00:00:00

  • [The molecular genetics of the fragile X syndrome. Its molecular diagnosis by DNA probes].

    abstract:BACKGROUND:The cytogenetic analysis of the fragile X affected shows a break point in the q27.3 region of chromosome X. However many carrier females and normal carrier males remain refractory to cytogenetic diagnosis. New DNA probes tightly linked to the fragile X point are now available allowing by the familiar RFLP an...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Giné R,Espinás ML,Antich J,Carballo M

    更新日期:1992-02-01 00:00:00

  • [Prognostic value of B-type natriuretic peptide in unstable angina and non-ST-elevation myocardial infarction].

    abstract:BACKGROUND AND OBJECTIVE:The B-type natriuretic peptide (BNP) has recently emerged as a prognostic marker in acute coronary syndromes (ACS). This role is based on results from randomized trials and other high selected population studies. The aim of this study was to determine the prognostic value of BNP in unselected p...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Molina-Mora MJ,Cabrera-Bueno F,Jiménez-Navarro M,Linde-Estrella A,García-Pinilla JM,Teresa-Galván Ed

    更新日期:2009-10-24 00:00:00

  • [Chronic myeloproliferative syndromes and tuberculosis: apropos of 3 cases].

    abstract::We report 3 patients with chronic myeloproliferative syndromes and active tuberculous infection. The first patient had chronic myelocytic leukemia. In this patient, primary tuberculosis was localized in the lung. In spite of tuberculostatic treatment, he developed laterocervical lymphadenopathy and a tuberculous absce...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Peró Silva A,García Saavedra V,Llorente Cabrera A

    更新日期:1990-04-21 00:00:00

  • [Spanish scientific production in biomedicine and health sciences during the period 1990-1993 (Science Citation Index and Social Science Citation Index) and comparison to period 1986-1989].

    abstract:BACKGROUND:In 1993 a first study on the scientific production of Spain in 1986-1989 on Biomedicine and Health Sciences, through the Science Citation Index (SCI) was published. The analysis attained the level of centres, with special emphasis in those related to the Health Care System. This paper analyses the period 199...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: Camí J,Zulueta MA,Fernández MT,Bordons M,Gómez I

    更新日期:1997-10-18 00:00:00

  • [Management of thromboembolic risk in patients with cancer].

    abstract::Venous thromboembolism is a frequent complication in cancer patients and affects their morbidity and mortality. The risk of this event differs according to the characteristics of the tumor, the patient's circumstances, and the treatments provided. Although the benefits of thromboprophylaxis in certain subgroups of pat...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审


    authors: Trujillo Santos AJ

    更新日期:2012-10-01 00:00:00

  • [GHBP, IGF-1 and IGFBP-3 serum levels in familial short-statured and normal-statured children].

    abstract:BACKGROUND AND OBJECTIVE:Growth hormone binding protein (GHBP), insuline-like growth factor 1 (IGF-1) and insuline-like growth factor binding protein 3 (IGFBP-3) serum concentrations were studied in familial short-statured patients (FSS) and age-matched normal-statured subjects. The aim of the study was to ascertain wh...

    journal_title:Medicina clinica

    pub_type: 杂志文章


    authors: del Valle Núñez CJ,López-Siguero JP,López-Canti LF,Lechuga Campoy JL,Espigares Martín R,Martínez-Aedo Ollero MJ,Grupo Andaluz de Endocrinología Pediátrica.

    更新日期:2004-10-09 00:00:00

  • [Postacute care].

    abstract::The aging of the population and changes in family and social structures have led to increasing care needs for elderly persons following an acute disease or accident, with consequent concerns regarding costs and sustainability within the public health system. The main objective of postacute care (PAC) is to restore the...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审


    authors: Admetlla Falgueras M,Fusté Sugrañes J

    更新日期:2014-07-07 00:00:00

  • [Susceptibility to varicella among health care workers. Acceptability and response to vaccination].

    abstract:BACKGROUND AND OBJECTIVE:To determine the prevalence of health care workers (HCW) susceptibility to varicella zoster virus (VZV). As a secondary objective, we describe the immunogenicity and reactogenicity of the vaccine. SUBJECTS AND METHODS:A multicenter analytic cross-sectional study was conducted in 5 hospitals in...

    journal_title:Medicina clinica

    pub_type: 杂志文章,多中心研究


    authors: García-Basteiro AL,Bayas JM,Campins M,Torres M,Serra C,Varela P,Barbé E,Vidal J,Grupo de Estudio de la Varicela en Hospitales de Cataluña.

    更新日期:2011-09-24 00:00:00