The influence of BCG immunisation on tuberculin reactivity and booster effect in adults in a country with a high prevalence of tuberculosis

作者: K. Hizel , I. Maral , R. Karakus , F. Aktas

DOI: 10.1111/J.1469-0691.2004.00970.X

关键词: Mycobacterium tuberculosisBCG vaccineInternal medicineMedicineTuberculin UnitVaccinationImmunologyTuberculosisTuberculinLatent tuberculosisBooster (rocketry)

摘要: The relationship of age and previous BCG vaccination with tuberculin skin test (TST) reactivity was investigated to assess the interpretation TST results in adult population Turkey, where there is a high prevalence tuberculosis routine programme. influences vaccine status on booster reaction were also evaluated. applied (5 units purified protein derivative intradermally) two healthy groups, namely 98 medical students 187 elderly people retirement home. considered positive if an induration > or = 10 mm diameter produced. Subjects (41 39 students) < retested 1 week later. There no significant difference between (59.1%) subjects (58.8%) respect response. No influence scars observed either group. effect seen more commonly elderly, but presence scar did not It concluded that response adults high-prevalence countries may be caused by latent rather than vaccination.

参考文章(22)
Larry I. Lutwick, Tuberculin skin testing Springer, Boston, MA. pp. 183- 206 ,(1995) , 10.1007/978-1-4899-2869-6_8
, Tuberculosis - A Clinical Handbook Thorax. ,vol. 50, pp. 918- 918 ,(1995) , 10.1136/THX.50.8.918-B
P. Miret-Cuadras, J.M. Pina-Gutierrez, S. Juncosa, Tuberculin reactivity in Bacillus Calmette-Guérin vaccinated subjects Tubercle and Lung Disease. ,vol. 77, pp. 52- 58 ,(1996) , 10.1016/S0962-8479(96)90076-3
Kassem M. Hallak, Maryjean Schenk, Anne Victoria Neale, Evaluation of the two-step tuberculin skin test in health care workers at an inner-city medical center Journal of Occupational and Environmental Medicine. ,vol. 41, pp. 393- 396 ,(1999) , 10.1097/00043764-199905000-00007
J. Woo, H.S. Chan, C.B. Hazlett, S.C. Ho, R. Chan, A. Sham, P.D.O. Davies, Tuberculosis among elderly Chinese in residential homes: tuberculin reactivity and estimated prevalence. Gerontology. ,vol. 42, pp. 155- 162 ,(1996) , 10.1159/000213787
C. B. E. CHEE, C. H. SOH, I. C. BOUDVILLE, S. S. CHOR, Y. T. WANG, Interpretation of the tuberculin skin test in Mycobacterium bovis BCG-vaccinated Singaporean schoolchildren. American Journal of Respiratory and Critical Care Medicine. ,vol. 164, pp. 958- 961 ,(2001) , 10.1164/AJRCCM.164.6.2101093
A. J. PLANT, R. E. WATKINS, B. GUSHULAK, T. O'ROURKE, W. JONES, J. STREETON, D. SANG, Predictors of tuberculin reactivity among prospective Vietnamese migrants: the effect of smoking. Epidemiology and Infection. ,vol. 128, pp. 37- 45 ,(2002) , 10.1017/S0950268801006434
A. Bener, S. Uduman, S.A. Bin-Othman, Factors associated with tuberculin reactivity among children in United Arab Emirates. Respiratory Medicine. ,vol. 90, pp. 89- 94 ,(1996) , 10.1016/S0954-6111(96)90204-8
Richard Menzies, Bilkis Vissandjee, Effect of bacille Calmette-Guérin vaccination on tuberculin reactivity. The American review of respiratory disease. ,vol. 145, pp. 621- 625 ,(1992) , 10.1164/AJRCCM/145.3.621
H. Johnson, B. Lee, E. Doherty, E. Kelly, T. McDonnell, Tuberculin sensitivity and the BCG scar in tuberculosis contacts Tubercle and Lung Disease. ,vol. 76, pp. 122- 125 ,(1995) , 10.1016/0962-8479(95)90553-7