ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Tuberculosis Prevalence Among Families Of Children With Positive Tuberculin Skin Test
Dr. Selma ÇETİNKAYA,a Dr. Haldun SÜMERb
aCumhuriyet Üniversitesi Sağlık Kültür ve Spor Dairesi Sağlık Merkezi,
bHalk Sağlığı AD, Cumhuriyet Üniversitesi Tıp Fakültesi, SİVAS
Objective: The aims of this study were, to find the tuberculosis prevalence among families of children with a positive or negative PPD; to evaluate the PPD values of children found negative or positive during screening of schools; and to give prophylactic treatment for children who were negative and became positive later.
Material and Methods: A total of 52 PPD positive and 65 PPD negative students were recruited to this cross-sectional study. Of these, 44 (84.6%) PPD positive and 58 (87.6%) negative students and their families accepted to participate in the study. The total number of participants was 543. PA radiography was performed on adults >5 years and a PPD test was performed on children ≤15 years; an acid-fast stained preparation was made from samples obtained from patients who discharged sputum.
Results: In the PPD positive group, only one newly diagnosed father and two newly diagnosed children detected during school screening were present. In the PPD negative group, there was no new case of TB. The school screening revealed that the PPD value decreased in 33, increased in 8 and did not change in 3 out of 44 PPD positive children. PPD test was positive in 31 out of 102 children (30.4%) in the PPD positive group and 5 out of 109 children (4.5%) in the PPD negative group. (p< 0.05). H treatment for 6 months was administered to 5 children with an initially negative PPD and who became positive subsequently.
Conclusion: School environment seemed to be effective in the transmission of infection; thus, priority in the implementation of prophylactic measures should be given to crowded communities such as the school. We suggest that periodic surveillance studies may be effective in the protection, early detection and therapy of TB.Keywords: Tuberculosis, tuberculine skin test, treatment, prophylaxisTurkiye Klinikleri J Med Sci 2006, 26:500-506
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