Tuberculin reactivity in a population of schoolchildren with high BCG vaccination coverage

Detalhes bibliográficos
Autor(a) principal: Barreto, Mauricio Lima
Data de Publicação: 2003
Outros Autores: Pereira, Susan M., Dourado, Maria Inês Costa, Bierrenbach, Ana Luiza de Souza, Cunha, Sérgio Souza da, Ichihara, Maria Y., Brito, Silvana Castro de, Rodrigues, Laura C.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/14267
Resumo: Texto completo: acesso restrito. p. 285-293
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spelling Barreto, Mauricio LimaPereira, Susan M.Dourado, Maria Inês CostaBierrenbach, Ana Luiza de SouzaCunha, Sérgio Souza daIchihara, Maria Y.Brito, Silvana Castro deRodrigues, Laura C.Barreto, Mauricio LimaPereira, Susan M.Dourado, Maria Inês CostaBierrenbach, Ana Luiza de SouzaCunha, Sérgio Souza daIchihara, Maria Y.Brito, Silvana Castro deRodrigues, Laura C.2014-01-06T15:03:43Z20031020-4989http://repositorio.ufba.br/ri/handle/ri/14267v. 13, n. 5Texto completo: acesso restrito. p. 285-293OBJECTIVE: To investigate the influence of BCG vaccination or revaccination on tuberculin skin test reactivity, in order to guide the correct interpretation of this test in a setting of high neonatal BCG vaccination coverage and an increasing BCG revaccination coverage at school age. METHODS: We conducted tuberculin skin testing and BCG scar reading in 1148 children aged 7–14 years old in the city of Salvador, Bahia, Brazil. We measured the positive effect of the presence of one or two BCG scars on the proportion of tuberculin skin test results above different cut-off levels (induration sizes of > 5 mm, > 10 mm, and > 15 mm) and also using several ranges of induration size (0, 1–4, 5–9, 10–14, and > 15 mm). We also measured the effects that age, gender, and the school where the child was enrolled had on these proportions. RESULTS: The proportion of tuberculin results > 10 mm was 14.2% (95% confidence interval (CI) = 8.0%–20.3%) for children with no BCG scar, 21.3% (95% CI = 18.5%–24.1%) for children with one BCG scar, and 45.0% (95% CI = 32.0%–58.0%) for children with two BCG scars. There was evidence for an increasing positive effect of the presence of one and two BCG scars on the proportion of results > 5 mm and > 10 mm. Similarly, there was evidence for an increasing positive effect of the presence of one and two scars on the proportion of tuberculin skin test results in the ranges of 5–9 mm and of 10–14 mm. The BCG scar effect on the proportion of results > 5 mm and > 10 mm did not vary with age. There was no evidence for BCG effect on the results > 15 mm. CONCLUSIONS: In Brazilian schoolchildren, BCG-induced tuberculin reactivity is indistinguishable, for results under 15 mm, from reactivity induced by Mycobacterium tuberculosis infection. BCG revaccination at school age increases the degree of BCG-induced tuberculin reactivity found among schoolchildren. This information should be taken into account in tuberculin skin test surveys intended to estimate M. tuberculosis prevalence or to assess transmission patterns as well as in tuberculin skin testing of individuals used as an auxiliary tool in diagnosing tuberculosis. Taking this information into consideration is especially important when there is increasing BCG revaccination coverage.Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2014-01-06T15:03:43Z No. of bitstreams: 1 Maurício L. Barreto.pdf: 161477 bytes, checksum: 4a6b8ca92d47365c60575155cb5639fd (MD5)Made available in DSpace on 2014-01-06T15:03:43Z (GMT). No. of bitstreams: 1 Maurício L. Barreto.pdf: 161477 bytes, checksum: 4a6b8ca92d47365c60575155cb5639fd (MD5) Previous issue date: 2003http://dx.doi.org/10.1590/S1020-49892003000400003reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBATuberculosisBCG vaccineTuberculin testImmunization programsBrazilTuberculin reactivity in a population of schoolchildren with high BCG vaccination coveragePan American Journal of Public Health / Revista Panamericana de Salud Públicainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengORIGINALMaurício L. Barreto.pdfMaurício L. Barreto.pdfapplication/pdf161477https://repositorio.ufba.br/bitstream/ri/14267/1/Maur%c3%adcio%20L.%20Barreto.pdf4a6b8ca92d47365c60575155cb5639fdMD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/14267/2/license.txtff6eaa8b858ea317fded99f125f5fcd0MD52TEXTMaurício L. Barreto.pdf.txtMaurício L. 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dc.title.pt_BR.fl_str_mv Tuberculin reactivity in a population of schoolchildren with high BCG vaccination coverage
dc.title.alternative.pt_BR.fl_str_mv Pan American Journal of Public Health / Revista Panamericana de Salud Pública
title Tuberculin reactivity in a population of schoolchildren with high BCG vaccination coverage
spellingShingle Tuberculin reactivity in a population of schoolchildren with high BCG vaccination coverage
Barreto, Mauricio Lima
Tuberculosis
BCG vaccine
Tuberculin test
Immunization programs
Brazil
title_short Tuberculin reactivity in a population of schoolchildren with high BCG vaccination coverage
title_full Tuberculin reactivity in a population of schoolchildren with high BCG vaccination coverage
title_fullStr Tuberculin reactivity in a population of schoolchildren with high BCG vaccination coverage
title_full_unstemmed Tuberculin reactivity in a population of schoolchildren with high BCG vaccination coverage
title_sort Tuberculin reactivity in a population of schoolchildren with high BCG vaccination coverage
author Barreto, Mauricio Lima
author_facet Barreto, Mauricio Lima
Pereira, Susan M.
Dourado, Maria Inês Costa
Bierrenbach, Ana Luiza de Souza
Cunha, Sérgio Souza da
Ichihara, Maria Y.
Brito, Silvana Castro de
Rodrigues, Laura C.
author_role author
author2 Pereira, Susan M.
Dourado, Maria Inês Costa
Bierrenbach, Ana Luiza de Souza
Cunha, Sérgio Souza da
Ichihara, Maria Y.
Brito, Silvana Castro de
Rodrigues, Laura C.
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Barreto, Mauricio Lima
Pereira, Susan M.
Dourado, Maria Inês Costa
Bierrenbach, Ana Luiza de Souza
Cunha, Sérgio Souza da
Ichihara, Maria Y.
Brito, Silvana Castro de
Rodrigues, Laura C.
Barreto, Mauricio Lima
Pereira, Susan M.
Dourado, Maria Inês Costa
Bierrenbach, Ana Luiza de Souza
Cunha, Sérgio Souza da
Ichihara, Maria Y.
Brito, Silvana Castro de
Rodrigues, Laura C.
dc.subject.por.fl_str_mv Tuberculosis
BCG vaccine
Tuberculin test
Immunization programs
Brazil
topic Tuberculosis
BCG vaccine
Tuberculin test
Immunization programs
Brazil
description Texto completo: acesso restrito. p. 285-293
publishDate 2003
dc.date.issued.fl_str_mv 2003
dc.date.accessioned.fl_str_mv 2014-01-06T15:03:43Z
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dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/14267
dc.identifier.issn.none.fl_str_mv 1020-4989
dc.identifier.number.pt_BR.fl_str_mv v. 13, n. 5
identifier_str_mv 1020-4989
v. 13, n. 5
url http://repositorio.ufba.br/ri/handle/ri/14267
dc.language.iso.fl_str_mv eng
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