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Analysis of tuberculin skin test in employees of Nagasaki University Hospital

机译：长崎大学医院雇员结核病皮肤试验分析

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摘要

The tuberculin skin test (TST) was conducted in 1,087 employees of Nagasaki University Hospital. The size of erythema (T1) was 27.3 +/- 17.0 mm, and 8.6% of all participants showed < = 9 mm, 49.9% showed 10-29 mm, 41.5% showed > = 30 mm. Laboratory technologists showed significantly larger reactions than other groups. Doctors and nurses working on the tuberculosis ward showed larger reactions than those working on the non-tuberculosis wards. Reactions tended to be larger with aging, and the younger employees in their 20s showed significantly smaller reactions than those in their 40s. The second TST was carried out in 253 employees whose T1 was below 30 mm. The size of erythema enlarged from 16.1 +/- 6.6 mm (T1) to 26.4 +/- 15.4 mm (T2), with the difference (booster phenomenon) of 10.2 +/- 14.4 mm. T2 and T2-T1 were larger in nurses working on the tuberculosis ward than those on the non-tuberculosis wards. It was suggested that laboratory technologists, nurses and doctors especially working on the tuberculosis ward are at risk of tuberculosis infection, and the two-step TST was an essential means to know the baseline reactivity, and to determine recent tuberculosis infection.
机译：结核菌素皮肤测试（TST）于长崎大学医院的1,087名员工进行。红斑（T1）的大小为27.3 +/- 17.0 mm，8.6％的所有参与者显示出<= 9mm，49.9％显示10-29 mm，41.5％显示> = 30毫米。实验室技术学家的反应明显多于其他群体。在结核病病房上工作的医生和护士表现出比在非结核病病房上工作的较大反应。随着衰老的反应往往更大，而20S的年轻员工显示出比40多岁的反应明显较小。第二个TST在253名员工中进行，其T1低于30毫米。红斑的大小从16.1 +/- 6.6 mm（t1）放大到26.4 +/- 15.4 mm（t2），差异（增强现象）为10.2 +/- 14.4 mm。 T2和T2-T1在对结核病病房工作的护士中大于非结核病病房。有人建议，实验室技术人员，护士和医生特别研究结核病病房有结核病感染的风险，两步TST是了解基线反应性的重要手段，并确定最近结核病感染。

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