Are routine chest X-rays for students entering university worthwhile?

Journal of quality in clinical practice Pub Date : 2002-01-21 DOI:10.1046/j.1440-1762.2001.00440.x

Kirby Sebro MBBS, Steven Rolle MBBS, Sharmaine Gray MBBS, Samantha Seecharan MBBS, Karis Thompson MBBS, Kaushalya Weerasena-Nedd MBBS, Surujpal Teelucksingh MRCP, PhD

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引用次数: 5

Abstract Mass radiographic screening for tuberculosis has lost favour in many countries. The aim of this study was to determine whether the continued practice of such screening of prospective students at the University of the West Indies was warranted by assessing the yield and the cost of the programme in our setting. In a cross- sectional retrospective study, 12 662 chest X-ray reports collected over the period 1989–1997 were studied. No active case of tuberculosis was detected. Three students reported a previous history of tuberculosis and 10 students had a positive family history of tuberculosis. Three hundred and ninety-nine clinically insignificant abnormalities were reported, such as mild scoliosis and calcified foci. Routine radiological screening of prospective students at the University of the West Indies for tuberculosis has an extremely low yield, places the students at unnecessary risk of radiation exposure and should be discontinued.

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为进入大学的学生做常规胸部x光检查是否值得?

在许多国家，结核病的大规模放射学筛查已经失宠。本研究的目的是通过评估该项目在我国的收益和成本，确定西印度群岛大学是否有必要继续对未来的学生进行这种筛选。在一项横断面回顾性研究中，对1989-1997年间收集的12662份胸片报告进行了研究。未发现活动性肺结核病例。3名学生报告有肺结核病史，10名学生有肺结核家族史。报告了399例临床不明显的异常，如轻度脊柱侧凸和钙化灶。对西印度群岛大学未来学生进行常规放射检查以检查结核病的成功率极低，使学生面临不必要的辐射暴露风险，应停止。

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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