Screening for tuberculosis in the primary care setting.

Lippincott's primary care practice Pub Date : 1998-11-01
L A Mackin
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引用次数: 0

Abstract

Screening for tuberculous infection and active disease is an important part of primary care practice across the lifespan. It is estimated that between 10 and 15 million people living in the United States are infected with Mycobacterium tuberculosis. Specific ethnic groups and persons with medical comorbidities are at an increased risk for progressing to active disease. The Mantoux method using 5TU purified protein derivative (PPD) antigen solution is the recommended skin testing technique for all age groups and settings. Companion anergy testing is no longer widely recommended. Interpretation of the tuberculin skin test reaction is also specific to age, lifestyle, and medical or environmental risk factors. Evaluation of risk of tubeculosis in the refugee or immigrant population requires careful evaluation of risk factors and interpretation of screening tests.

在初级保健机构进行结核病筛查。
筛查结核感染和活动性疾病是整个生命周期的初级保健实践的重要组成部分。据估计,生活在美国的1000万至1500万人感染了结核分枝杆菌。特定种族群体和有医疗合并症的人发展为活动性疾病的风险增加。使用5TU纯化蛋白衍生物(PPD)抗原溶液的Mantoux方法是所有年龄组和环境的推荐皮肤试验技术。伴随能量测试不再被广泛推荐。结核菌素皮肤试验反应的解释也与年龄、生活方式、医疗或环境风险因素有关。评估难民或移民人口的结核病风险需要仔细评估风险因素和解释筛查试验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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