【不同年龄儿童的结核病:疫苗接种、化学预防、检测的具体特点和临床病程】。

L A Baryshnikova
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引用次数: 0

摘要

对296例儿童活动性结核病的检查显示了各种年龄相关的抗结核措施。14.8%的3岁以下儿童未接种结核病疫苗;19.8%较早接受过化学预防;与肺结核患者接触检出率较高(70.4%)。在此背景下,婴儿期结核病更常见于主诉(48.1%),而较少见于大规模结核菌素诊断(19.8%);疾病的全身性形式和胸内淋巴结合并结核更常见(16%和24.7%),致命的结果更常见(7.4%)。23.8%的学童有继发性肺结核。总的来说,在检测结核时,Mantoux试验中出现的丘疹的平均大小为12.8±0.37 mm。
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[Tuberculosis in children of various ages: vaccination, chemoprophylaxis, the specific features of detection, and clinical course].

Examination of 296 cases of active forms of tuberculosis in children showed various age-dependent antituberculous measures. 14.8% of the children less than 3 years of age had not been vaccinated against tuberculosis; 19.8% had earlier received chemoprophylaxis; and contact with patients with tuberculosis was detected more frequently (70.4%). Against this background, tuberculosis in infancy was more commonly identified from complaints (48.1%) and less frequently at mass tuberculin diagnosis (19.8%); the generalized forms of the disease and complicated tuberculosis of intrathoracic lymph nodes were more frequently found (16% and 24.7%), a fatal outcome was oftener observed (7.4%). The secondary forms of tuberculosis were revealed in 23.8% of schoolchildren. Overall, the mean size of a papule emerging from the Mantoux test was 12.8 +/- 0.37 mm at the detection of tuberculosis.

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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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