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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Recommendations that purified protein derivative &#40;PPD&#41; RT-23 tuberculin should not be kept and used more than 24 to 48 hours after opening are rarely complied with&#46; The aim of this study was to determine whether using PPD RT-23 tuberculin from vials that had been open for a longer time could affect results of tuberculin tests and whether the solution could become contaminated&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">A prospective cross-sectional study was carried out&#46; Two tuberculin tests were simultaneously administered&#44; one in each forearm&#44; to adult contacts of patients with active tuberculosis&#44; one test using a recently opened vial of tuberculin &#40;control&#41; and the other using tuberculin that had been opened a week before &#40;first phase&#41; or a month before &#40;second phase&#41; &#40;study tuberculin&#41;&#46; Leftover tuberculin from several of the vials was cultured&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">For the 127 patients in the first group &#40;tuberculin opened 1 week&#41;&#44; the mean &#40;SD&#41; diameter of the induration was 6&#46;2 &#40;6&#46;9&#41; mm for the study tuberculin and 6&#46;3 &#40;6&#46;9&#41; mm for the control &#40;<span class="elsevierStyleItalic">P</span> &#61; &#46;3&#41;&#46; For the 83 patients in the second group &#40;tuberculin opened 1 month&#41;&#44; the mean diameter of the induration was 5&#46;5 &#40;7&#46;3&#41; mm for the study tuberculin and 5&#46;7 &#40;7&#46;3&#41; mm for the control &#40;<span class="elsevierStyleItalic">P</span> &#61; &#46;5&#41;&#46; There were no differences between the number of positive tests found&#46; None of the cultured tuberculins produced bacterial growth&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">PPD RT-23 tuberculin does not appear to lose potency or sterility when vials have been opened for a week or a month&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Aunque se recomienda que tras la apertura y utilizaci&#243;n de los viales de tuberculina PPD RT-23 el producto restante no debe usarse pasadas 24-48 h&#44; esto habitualmente no se cumple&#46; El prop&#243;sito de este estudio es evaluar si el mantenimiento de los frascos de tuberculina PPD RT-23 abiertos durante m&#225;s tiempo de lo recomendado puede influir en los resultados de la prueba de la tuberculina o en la posibilidad de la contaminaci&#243;n microbiana del producto&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio prospectivo transversal&#46; Se realizaron de forma sincr&#243;nica 2 pruebas de la tuberculina en distintos antebrazos a contactos adultos de enfermos con tuberculosis activa&#44; una con la tuberculina reci&#233;n abierta &#40;control&#41; y otra con tuberculina de un frasco abierto una semana &#40;en una primera fase&#41; o un mes antes &#40;en una segunda fase&#41; &#40;tuberculina estudio&#41;&#46; Se cultiv&#243; la tuberculina sobrante de varios de los viales utilizados&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En los 127 pacientes del primer grupo &#40;una semana&#41;&#44; la media &#40;&#177; desviaci&#243;n est&#225;ndar&#41; del di&#225;metro de la induraci&#243;n fue de 6&#44;2 &#177; 6&#44;7 mm con la tuberculina estudio y de 6&#44;3 &#177; 6&#44;9 mm con la control &#40;p &#61; 0&#44;3&#41;&#46; En los 81 pacientes del segundo grupo &#40;un mes&#41; fue de 5&#44;5 &#177; 7&#44;3 mm con la tuberculina estudio y de 5&#44;7 &#177; 7&#44;3 mm con la control &#40;p &#61; 0&#44;5&#41;&#46; No se observaron diferencias en la frecuencia de pruebas positivas&#46; En ninguna de las tuberculinas cultivadas se obtuvo crecimiento bacteriano&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Parece que la tuberculina PPD RT-23 2UT no pierde potencia ni se contamina&#44; aunque se mantengan abiertos los frascos durante una semana o un mes&#46;</p>"
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Original Articles
Conservation of Purified Protein Derivative RT-23 Tuberculin
A. Fernández-Villar
Corresponding author
jfv01po@saludalia.com

Correspondence: Dr. A. Fernández-Villar. Joaquín Costa, 60, 6° C. 36004 Pontevedra. España
, A. Gorís, M. Otero, N. Chouciño, R. Vázquez, M.J. Muñoz, L. Piñeiro
Unidad de Tuberculosis de Vigo, Servicio de Neumología, Complejo Hospitalario Universitario Xeral-Cíes, Vigo, Pontevedra, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Recommendations that purified protein derivative &#40;PPD&#41; RT-23 tuberculin should not be kept and used more than 24 to 48 hours after opening are rarely complied with&#46; The aim of this study was to determine whether using PPD RT-23 tuberculin from vials that had been open for a longer time could affect results of tuberculin tests and whether the solution could become contaminated&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">A prospective cross-sectional study was carried out&#46; Two tuberculin tests were simultaneously administered&#44; one in each forearm&#44; to adult contacts of patients with active tuberculosis&#44; one test using a recently opened vial of tuberculin &#40;control&#41; and the other using tuberculin that had been opened a week before &#40;first phase&#41; or a month before &#40;second phase&#41; &#40;study tuberculin&#41;&#46; Leftover tuberculin from several of the vials was cultured&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">For the 127 patients in the first group &#40;tuberculin opened 1 week&#41;&#44; the mean &#40;SD&#41; diameter of the induration was 6&#46;2 &#40;6&#46;9&#41; mm for the study tuberculin and 6&#46;3 &#40;6&#46;9&#41; mm for the control &#40;<span class="elsevierStyleItalic">P</span> &#61; &#46;3&#41;&#46; For the 83 patients in the second group &#40;tuberculin opened 1 month&#41;&#44; the mean diameter of the induration was 5&#46;5 &#40;7&#46;3&#41; mm for the study tuberculin and 5&#46;7 &#40;7&#46;3&#41; mm for the control &#40;<span class="elsevierStyleItalic">P</span> &#61; &#46;5&#41;&#46; There were no differences between the number of positive tests found&#46; None of the cultured tuberculins produced bacterial growth&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">PPD RT-23 tuberculin does not appear to lose potency or sterility when vials have been opened for a week or a month&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Aunque se recomienda que tras la apertura y utilizaci&#243;n de los viales de tuberculina PPD RT-23 el producto restante no debe usarse pasadas 24-48 h&#44; esto habitualmente no se cumple&#46; El prop&#243;sito de este estudio es evaluar si el mantenimiento de los frascos de tuberculina PPD RT-23 abiertos durante m&#225;s tiempo de lo recomendado puede influir en los resultados de la prueba de la tuberculina o en la posibilidad de la contaminaci&#243;n microbiana del producto&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio prospectivo transversal&#46; Se realizaron de forma sincr&#243;nica 2 pruebas de la tuberculina en distintos antebrazos a contactos adultos de enfermos con tuberculosis activa&#44; una con la tuberculina reci&#233;n abierta &#40;control&#41; y otra con tuberculina de un frasco abierto una semana &#40;en una primera fase&#41; o un mes antes &#40;en una segunda fase&#41; &#40;tuberculina estudio&#41;&#46; Se cultiv&#243; la tuberculina sobrante de varios de los viales utilizados&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En los 127 pacientes del primer grupo &#40;una semana&#41;&#44; la media &#40;&#177; desviaci&#243;n est&#225;ndar&#41; del di&#225;metro de la induraci&#243;n fue de 6&#44;2 &#177; 6&#44;7 mm con la tuberculina estudio y de 6&#44;3 &#177; 6&#44;9 mm con la control &#40;p &#61; 0&#44;3&#41;&#46; En los 81 pacientes del segundo grupo &#40;un mes&#41; fue de 5&#44;5 &#177; 7&#44;3 mm con la tuberculina estudio y de 5&#44;7 &#177; 7&#44;3 mm con la control &#40;p &#61; 0&#44;5&#41;&#46; No se observaron diferencias en la frecuencia de pruebas positivas&#46; En ninguna de las tuberculinas cultivadas se obtuvo crecimiento bacteriano&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Parece que la tuberculina PPD RT-23 2UT no pierde potencia ni se contamina&#44; aunque se mantengan abiertos los frascos durante una semana o un mes&#46;</p>"
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Original language: English
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