COMPLEX ASSESSMENT OF DIAGNOSTIC METHODS OF DETECTION OF THE TUBERCULOSIS INFECTION AT CHILDREN AND TEENAGERS IN THE CHUVASH REPUBLIC

The assessment of screening of children and teenagers with application of the antigen tuberculosis recombinant (ATR) for the purpose of selection of persons with the changed sensitivity for carrying out the further inspection including the computer tomography of respiratory organs (CTRO) is carried...

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Main Authors: T. R. Vozyakova, A. V. Masterova, Zh. V. Elenkina, D. A. Kudlay
Format: Article
Language:Russian
Published: Ltd. “The National Academy of Pediatric Science and Innovation” 2017-09-01
Series:Rossijskij Vestnik Perinatologii i Pediatrii
Subjects:
Online Access:https://www.ped-perinatology.ru/jour/article/view/534
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author T. R. Vozyakova
A. V. Masterova
Zh. V. Elenkina
D. A. Kudlay
author_facet T. R. Vozyakova
A. V. Masterova
Zh. V. Elenkina
D. A. Kudlay
author_sort T. R. Vozyakova
collection DOAJ
description The assessment of screening of children and teenagers with application of the antigen tuberculosis recombinant (ATR) for the purpose of selection of persons with the changed sensitivity for carrying out the further inspection including the computer tomography of respiratory organs (CTRO) is carried out. Informational content of CT in group of therapeutic risk was analyzed. Introduction of tests with the ATR led to reduction of quantity to be surveyed at the phthisiatrician from 14,4% selected on the basis of data of a tuberculin test (TT), up to 2,6% by results of tests with the ATR in 2015, to decrease of number of the persons which are subject to preventive treatment of latent tuberculosis infection, reduction of observed children with postvaccination allergy, and also body height of number observed in IIIA dispensary registration group more than by 6 times. Application of the ATR was more informative among teenagers where the positive take of test about the ATR was followed by detection of local changes the CT method by 12,4 times more often than among children. Informational content of CT is higher than classical X-ray analysis of respiratory organs by 7,6 times and lack of this look in comprehensive examination of risk groups leads to a poor identification of tubercular changes in 47,4% of cases with the changed sensitivity on the ATR. Practically lack of signs of tubercular defeat on CTRO in group of therapeutic risk confirms specificity of test with the ATR in selection of risk group on a disease of tuberculosis. The absence of signs of tuberculosis lesion on a computer tomogram of the chest in the group of therapeutic risk confirms the specificity of the sample with the allergen tuberculosis recombinant for the selection of the risk group for tuberculosis.
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spelling doaj.art-26914c62dfb54163b571b9d44ee8e3a42023-03-13T09:12:44ZrusLtd. “The National Academy of Pediatric Science and Innovation”Rossijskij Vestnik Perinatologii i Pediatrii1027-40652500-22282017-09-0162410511210.21508/1027-4065-2017-62-4-105-112480COMPLEX ASSESSMENT OF DIAGNOSTIC METHODS OF DETECTION OF THE TUBERCULOSIS INFECTION AT CHILDREN AND TEENAGERS IN THE CHUVASH REPUBLICT. R. Vozyakova0A. V. Masterova1Zh. V. Elenkina2D. A. Kudlay3ФГБОУ ВО «Чувашский государственный университет им. И.Н. Ульянова»; КУ «Республиканский противотуберкулезный диспансер» Минздрава Чувашской РеспубликиКУ «Республиканский противотуберкулезный диспансер» Минздрава Чувашской РеспубликиКУ «Республиканский противотуберкулезный диспансер» Минздрава Чувашской РеспубликиФГБОУ ДПО Институт повышения квалификации ФМБА РоссииThe assessment of screening of children and teenagers with application of the antigen tuberculosis recombinant (ATR) for the purpose of selection of persons with the changed sensitivity for carrying out the further inspection including the computer tomography of respiratory organs (CTRO) is carried out. Informational content of CT in group of therapeutic risk was analyzed. Introduction of tests with the ATR led to reduction of quantity to be surveyed at the phthisiatrician from 14,4% selected on the basis of data of a tuberculin test (TT), up to 2,6% by results of tests with the ATR in 2015, to decrease of number of the persons which are subject to preventive treatment of latent tuberculosis infection, reduction of observed children with postvaccination allergy, and also body height of number observed in IIIA dispensary registration group more than by 6 times. Application of the ATR was more informative among teenagers where the positive take of test about the ATR was followed by detection of local changes the CT method by 12,4 times more often than among children. Informational content of CT is higher than classical X-ray analysis of respiratory organs by 7,6 times and lack of this look in comprehensive examination of risk groups leads to a poor identification of tubercular changes in 47,4% of cases with the changed sensitivity on the ATR. Practically lack of signs of tubercular defeat on CTRO in group of therapeutic risk confirms specificity of test with the ATR in selection of risk group on a disease of tuberculosis. The absence of signs of tuberculosis lesion on a computer tomogram of the chest in the group of therapeutic risk confirms the specificity of the sample with the allergen tuberculosis recombinant for the selection of the risk group for tuberculosis.https://www.ped-perinatology.ru/jour/article/view/534детиподросткитуберкулезаллерген туберкулезный рекомбинантныйтуберкулиновый тесткомпьютерная томография органов грудной клетки
spellingShingle T. R. Vozyakova
A. V. Masterova
Zh. V. Elenkina
D. A. Kudlay
COMPLEX ASSESSMENT OF DIAGNOSTIC METHODS OF DETECTION OF THE TUBERCULOSIS INFECTION AT CHILDREN AND TEENAGERS IN THE CHUVASH REPUBLIC
Rossijskij Vestnik Perinatologii i Pediatrii
дети
подростки
туберкулез
аллерген туберкулезный рекомбинантный
туберкулиновый тест
компьютерная томография органов грудной клетки
title COMPLEX ASSESSMENT OF DIAGNOSTIC METHODS OF DETECTION OF THE TUBERCULOSIS INFECTION AT CHILDREN AND TEENAGERS IN THE CHUVASH REPUBLIC
title_full COMPLEX ASSESSMENT OF DIAGNOSTIC METHODS OF DETECTION OF THE TUBERCULOSIS INFECTION AT CHILDREN AND TEENAGERS IN THE CHUVASH REPUBLIC
title_fullStr COMPLEX ASSESSMENT OF DIAGNOSTIC METHODS OF DETECTION OF THE TUBERCULOSIS INFECTION AT CHILDREN AND TEENAGERS IN THE CHUVASH REPUBLIC
title_full_unstemmed COMPLEX ASSESSMENT OF DIAGNOSTIC METHODS OF DETECTION OF THE TUBERCULOSIS INFECTION AT CHILDREN AND TEENAGERS IN THE CHUVASH REPUBLIC
title_short COMPLEX ASSESSMENT OF DIAGNOSTIC METHODS OF DETECTION OF THE TUBERCULOSIS INFECTION AT CHILDREN AND TEENAGERS IN THE CHUVASH REPUBLIC
title_sort complex assessment of diagnostic methods of detection of the tuberculosis infection at children and teenagers in the chuvash republic
topic дети
подростки
туберкулез
аллерген туберкулезный рекомбинантный
туберкулиновый тест
компьютерная томография органов грудной клетки
url https://www.ped-perinatology.ru/jour/article/view/534
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AT zhvelenkina complexassessmentofdiagnosticmethodsofdetectionofthetuberculosisinfectionatchildrenandteenagersinthechuvashrepublic
AT dakudlay complexassessmentofdiagnosticmethodsofdetectionofthetuberculosisinfectionatchildrenandteenagersinthechuvashrepublic