Tuberculin skin test, chest radiography and contact screening in children ≤5 Y: Relevance in revised national tuberculosis control programme (RNTCP)

ChauhanS.; GahalautP.; RathiA.K.

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Tuberculin skin test, chest radiography and contact screening in children ≤5 Y: Relevance in revised national tuberculosis control programme (RNTCP)

机译：Tuberculin skin test, chest radiography and contact screening in children ≤5 Y: Relevance in revised national tuberculosis control programme (RNTCP)

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Objectives: To ascertain the status of Tuberculin Skin Test (TST) in the children aged 0-5 y who are household contacts of adults having sputum smear positive pulmonary tuberculosis and also to study the relationship of TST and Chest X-Ray (CXR) and their relevance in contact screening under RNTCP setup. Methods: This prospective hospital based clinical study was conducted at a tertiary level referral medical college in Northern India. Study subjects were 200 children ≤5 y of age who were household contacts of adults with sputum smear positive pulmonary tuberculosis. All these adult index cases were registered and taking regular treatment at RNTCP centre attached to a medical college. Demographic data collection, detailed clinical history along with clinical examination, growth assessment, TST and chest radiography (CXR) was done for every child. Results: TST was positive in 39 children and out of these 68 of child contacts had CXR findings suggestive of tuberculosis. This correlation was found to be highly significant (p < 0.001), especially in children less than 1 y of age. A high percentage of clinically asymptomatic children also had positive TST and CXR consistent with definition of TB disease. Conclusions: Contact screening must be prioritized in RNTCP. Unlike presently, TST and CXR should be actively employed in RNTCP for contact screening.

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《Indian journal of pediatrics》 |2013年第4期|276-280|共5页
作者
ChauhanS.; GahalautP.; RathiA.K.;
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作者单位

Department of Pediatrics, Sri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar;

Department of Dermatology, Sri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar;

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正文语种英语
中图分类儿科学;
关键词
Contact screening; PPD; RNTCP; TST; Tuberculin skin test; Tuberculosis;

Tuberculin skin test, chest radiography and contact screening in children ≤5 Y: Relevance in revised national tuberculosis control programme (RNTCP)

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