Preview

Epidemiology and Vaccinal Prevention

Advanced search

Comparative Evaluation of Allergodiagnostic of Tuberculosis in Children

https://doi.org/10.31631/2073-3046-2016-15-3-41-44

Abstract

The comparative analysis of results of the tuberculin skin test (TST) and of the skin test with the recombinant tuberculosis allergen (Diaskintest - DST) in 7978 children with active tuberculosis revealed for the first time in 2013 - 2014 was carried out. The negative DST result and positive TST result are observed at 551 (6.91%) of patients. 92 patients (1.15%) had negative both tests, and at 98 people (1.23%) DST has yielded positive result, PM - negative. Other patients had positive both tests. In general, by means of DST tuberculosis initially hasn't been revealed at 643 (8.06%) patients, and by means of TST - at 190 (2.38%) patients. The difference is statistically reliable (t = 9.16; P < 0.05). Dynamics of tests results at patients with active tuberculosis was studied. The result of DST remained negative for a year in18.7% of patients, in 26,7% of patients with initially negative DST the result became positive in 3 months, in 2.7% - a year after the first testing. Tuberculosis of various forms and localizations, including TB+, was diagnosed for children with initially negative results of DST and positive TST.

About the Authors

I. V. Mikheeva
Federal Budget Institution of Science «Central Research Institute of Epidemiology» of The Federal Service on Customers ' Rights Protection and Human Well-being Surveillance
Russian Federation


E. Yu. Burdova
Federal Budget Institution of Science «Central Research Institute of Epidemiology» of The Federal Service on Customers ' Rights Protection and Human Well-being Surveillance
Russian Federation


A. A. Melnikova
Federal Budget Institution of Science «Central Research Institute of Epidemiology» of The Federal Service on Customers ' Rights Protection and Human Well-being Surveillance
Russian Federation


References

1. Weekly epidemiological record. 2004; 4 (79): 25 – 40. Доступно на: http://www.who.int/wer

2. Anderson S.T., Williams A.J., Brown J.R., Newton S.M., Simsova M., Nicol M.P. et al. Transmission of Mycobacterium tuberculosis Undetected by Tuberculin Skin Testing. American Journal of Respiratory and Critical Care Medicine. 2006; 173 (9): 1038 – 1042.

3. Koretskaya N.M. Diaskintest – a new method for the diagnosis of tuberculosis infection. Siberian medical review. 2013; 2: 94 – 97 (in Russian).

4. Streltsova E.N., Ryzhkova O.A., Bespalova A.O. Comparative clinical studies of skin test Diaskintest and Mantoux test in patients with pulmonary tuberculosis. Astrakhan Medical Journal. 2011: 6 (1): 265 – 270 (in Russian).

5. Lysov A.V., Kazakov A.V., Ryabtseva I.A., Popov R.A., Rodionova A.A. Diaskintest in the TB specialists praxis, Siberian Medical Review. 2011: 72 (6): 110 – 113 (in Russian).

6. Aksenova V.A. New Diaskintest skin test as a screening method for the detection of tuberculosis. Doktor.Ru. 2011; 6: 35 – 39 (in Russian).

7. Slogotskaya L.V., Filippov A.V., Kochetkov Y.A., Seltsovsky P.P., Litvinov V.I. DIASKINTESTA® sensitivity and specificity in patients with tuberculosis and nontuberculous lung disease. Russian Medical Journal. 2011; 4: 15 – 19 (in Russian).

8. Ovsyankina E.S. Experience in the use of new skin test (DIASKINTESTA®) for the diagnosis of pulmonary tuberculosis in children ipodrostkov in the TB ward. Probl. Tuberculosis and Lung Disease. 2009; 1: 16 – 19 (in Russian).

9. Smetanin A.G. Prognostic value of Mantoux test and Diaskintest with tuberculosis infection in children. Medical alphabet. 2013; 2 (13): 38 – 41 (in Russian).

10. Levy D.T., Nakonechnaya A.V., Obukhov Yu,I,, Ruhamina M,L,, Aleksandrova N,V,, Alvarez Figueroa M.V. TB allergen – preparations for the specific diagnosis of tuberculosis .Biopreparaty. Prevention. Diagnostics. Treatment. 2013; 4 (48): 10 – 17 (in Russian).

11. Aksenova V.A., Klevno N.I., Baryshnikova L.A., Kudlay D.A., Nikolenko N.Yu., Kurilla A.A.I dentify and tactics of follow-up for individuals at risk with the use of a recombinant tuberculosis antigen – Diaskintest. Guidelines (Protocol № 4 dated 8 June, 2011) (in Russian).

12. Description Diaskintest medicinal drug. Electronic reference «Vidal». Available at: www.vidal.ru/poisk_preparatov/diaskintest.htm (in Russian).


Review

For citations:


Mikheeva I.V., Burdova E.Yu., Melnikova A.A. Comparative Evaluation of Allergodiagnostic of Tuberculosis in Children. Epidemiology and Vaccinal Prevention. 2016;15(3):41-44. (In Russ.) https://doi.org/10.31631/2073-3046-2016-15-3-41-44

Views: 958


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2073-3046 (Print)
ISSN 2619-0494 (Online)