Vacina BCG. Eficácia e impacto nos resultados de rastreio tuberculínico em população de alto risco.

In a housing estate population with a high prevalence of tuberculosis, the authors conducted tuberculosis screening with the tuberculin test, and an investigation with three purposes: evaluation of tuberculosis infection (defined as > 10 mm on tuberculin test), evaluation of BCG effect on tubercu...

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Main Author: A N Pina
Format: Article
Language:English
Published: Ordem dos Médicos 1998-12-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2364
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author A N Pina
author_facet A N Pina
author_sort A N Pina
collection DOAJ
description In a housing estate population with a high prevalence of tuberculosis, the authors conducted tuberculosis screening with the tuberculin test, and an investigation with three purposes: evaluation of tuberculosis infection (defined as > 10 mm on tuberculin test), evaluation of BCG effect on tuberculin test, and evaluation of BCG efficacy. The data was collected by nurses during the screening and completed with observation of vaccination records in a health center. The diagnosis of tuberculosis was done by local specialized health services. The statistical significance was tested with Chi Square and Fisher Tests. Vaccine efficacy was calculated on the basis of relative risk of contracting tuberculosis according to vaccination status. The authors tested tuberculin reactivity on 396 persons -53.5% of whole population resident in the neighbourhood. The infection was more prevalent in the 15-44-years-old group (31.2%), in males (25.9%) and black population (30.5%). Only the differences between age groups were statistically significant. After the discussion of probable bias, the authors conclude that BCG does not convert the tuberculin test significantly when the cutpoint is of 10 mm, in a high prevalent tuberculosis population. Therefore, the tuberculin test could be a good diagnostic test for infection, even in vaccinated groups. Lastly, the vaccine efficacy was not confirmed, probably because of the small magnitude of sample size.
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spelling doaj.art-529be9a50af8466a99d91a7875e577ee2022-12-22T02:25:42ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07581998-12-01111210.20344/amp.2364Vacina BCG. Eficácia e impacto nos resultados de rastreio tuberculínico em população de alto risco.A N Pina0Centro de Saúde de Olhão.In a housing estate population with a high prevalence of tuberculosis, the authors conducted tuberculosis screening with the tuberculin test, and an investigation with three purposes: evaluation of tuberculosis infection (defined as > 10 mm on tuberculin test), evaluation of BCG effect on tuberculin test, and evaluation of BCG efficacy. The data was collected by nurses during the screening and completed with observation of vaccination records in a health center. The diagnosis of tuberculosis was done by local specialized health services. The statistical significance was tested with Chi Square and Fisher Tests. Vaccine efficacy was calculated on the basis of relative risk of contracting tuberculosis according to vaccination status. The authors tested tuberculin reactivity on 396 persons -53.5% of whole population resident in the neighbourhood. The infection was more prevalent in the 15-44-years-old group (31.2%), in males (25.9%) and black population (30.5%). Only the differences between age groups were statistically significant. After the discussion of probable bias, the authors conclude that BCG does not convert the tuberculin test significantly when the cutpoint is of 10 mm, in a high prevalent tuberculosis population. Therefore, the tuberculin test could be a good diagnostic test for infection, even in vaccinated groups. Lastly, the vaccine efficacy was not confirmed, probably because of the small magnitude of sample size.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2364
spellingShingle A N Pina
Vacina BCG. Eficácia e impacto nos resultados de rastreio tuberculínico em população de alto risco.
Acta Médica Portuguesa
title Vacina BCG. Eficácia e impacto nos resultados de rastreio tuberculínico em população de alto risco.
title_full Vacina BCG. Eficácia e impacto nos resultados de rastreio tuberculínico em população de alto risco.
title_fullStr Vacina BCG. Eficácia e impacto nos resultados de rastreio tuberculínico em população de alto risco.
title_full_unstemmed Vacina BCG. Eficácia e impacto nos resultados de rastreio tuberculínico em população de alto risco.
title_short Vacina BCG. Eficácia e impacto nos resultados de rastreio tuberculínico em população de alto risco.
title_sort vacina bcg eficacia e impacto nos resultados de rastreio tuberculinico em populacao de alto risco
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2364
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