[新型诊断药物Diaskintest在儿童肺结核诊断中的有效性]。

V I Litvinov, A M Shuster, L V Slogotskaia, P P Sel'tsovskiĭ, E S Ovsiankina, A Iu Mushkin, T I Vinogradova, D T Levi, I V Bocharova, A V Filippov, L B Stakheeva
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引用次数: 0

摘要

DST在几乎所有结核病患者中都具有很高的敏感性,并且首先在感染者中发现阳性反应。随着稳定和回归,对DST的反应远不如临床和原发性感染明显(对Mantoux试验的反应更为明显)。DST显示其作为活动性结核的标志不仅在其局部形式,而且在潜伏结核感染。这使得在进行预防性治疗时应用DST成为可能。该制剂可用于监测治疗的进展。DST具有很高的特异性——健康个体对DST有阴性反应,而在许多情况下,Mantoux试验呈阳性。接种卡介苗(引起卡介苗炎)的人对DST呈阴性反应,而接种卡介苗的所有病例的Mantoux试验均呈阳性,这表明DST具有高特异性。研究结果证明了DST用于鉴别诊断结核病和bcg相关并发症,以及鉴别儿童和青少年接种疫苗后过敏和感染性过敏的可能性。
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[Effectiveness of new diagnostic drug Diaskintest in children for tuberculosis diagnostic].

DST was ascertained to have a high sensitivity in virtually all patients with tuberculosis and a positive reaction was first noted in the infected. With stabilization and regression, the response to DST was much less pronounced than that in clinical and primary infection (that to the Mantoux test being more evident). DST showed its use as a marker of active tuberculosis not only in its local forms, but also in latent tuberculous infection. This makes it possible to apply DST when preventive treatment is performed. The agent may be used to monitor the progress of treatment. DST has a high specificity--healthy individuals had a negative response to DST while the Mantoux test was positive in many cases. The high specificity of DST was suggested by the fact that the persons vaccinated with (this caused BCG ostitis) had a negative reaction to DST while the Mantoux test was positive in all cases BCG-vaccinated BCG. The findings warrant the use of DST for the differential diagnosis of tuberculosis and BCG-associated complications and the possibility of differentiating postvaccinal and infection allergy in children and adolescents.

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[Vaccine prophylaxis of tuberculosis: implication and problems]. [Prevalence of tuberculosis among children and adolescents in the Russian Federation: analysis of official statistics]. [Analysis of the rates of infection and incidence of tuberculosis in children from a poor epidemic-situation area in 2001 to 2006]. [Clinical and epidemiological features of tuberculosis ostitis in BCG-vaccinated children]. [Detection of tuberculosis in Moscow adolescents].
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