Original Articles
Tuberculin Reaction Size in Tuberculosis Patient Contact
Miquel Alsedà
, Pere Godoy
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miquel.alseda@gencat.net
Correspondence: Dr. M. Alsedà. Camp de Mart, 39, 3.º, 2.ª. 25004 Lleida. España
Correspondence: Dr. M. Alsedà. Camp de Mart, 39, 3.º, 2.ª. 25004 Lleida. España
Sección de Epidemiología, Delegación Territorial del Departamento de Sanidad y Seguridad Social de Lleida, Facultad de Medicina, Universidad de Lleida, Lleida, Spain
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"autores" => array:2 [ 0 => array:4 [ "nombre" => "Miquel" "apellidos" => "Alsedà" "email" => array:1 [ 0 => "miquel.alseda@gencat.net" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "Pere" "apellidos" => "Godoy" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Sección de Epidemiología, Delegación Territorial del Departamento de Sanidad y Seguridad Social de Lleida, Facultad de Medicina, Universidad de Lleida, Lleida, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. M. Alsedà. Camp de Mart, 39, 3.º, 2.ª. 25004 Lleida. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-06-27" "fechaAceptado" => "2006-09-09" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154801" "palabras" => array:3 [ 0 => "Tuberculosis" 1 => "Contacts" 2 => "Tuberculin reaction" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154802" "palabras" => array:3 [ 0 => "Tuberculosis" 1 => "Contactos" 2 => "Reacción tuberculínica" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">The purpose of this study was to explore the association between tuberculin reaction size in contacts with positive tuberculin skin test results and a variety of contact and index patient variables.</p> <span class="elsevierStyleSectionTitle">Patients and Methods</span><p class="elsevierStyleSimplePara elsevierViewall">We reviewed the contact investigation records for tuberculosis patients identified by the Tuberculosis Prevention and Control Center of Lleida, Spain, over a period of 7 years. Patients with pulmonary and/or extrapulmonary disease were included. Tuberculosis infection had been diagnosed using the Mantoux skin test with 2 tuberculin units of purified protein derivative RT-23, and tuberculosis disease had been detected on the basis of clinical data, chest radiographs, and cultures. We examined the association between tuberculin reaction size and contact age, close contact with index patients with positive sputum smears, and diagnosis of tuberculosis disease in contacts. Associations were analyzed using the χ<span class="elsevierStyleSup">2</span> test for linear trend.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Tuberculin reaction size was 10 mm or greater in 85.9% of the 768 contacts analyzed and 15 mm or greater in 63.8%. The percentage of contacts under 15 years of age (P=.006) who had close contact with an index patient with a positive sputum smear (P=.013) and who were diagnosed with tuberculosis disease (P=.029) increased with tuberculin reaction size.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">We found that larger tuberculin reaction size in contacts with positive tuberculin skin test results was most frequently associated with recent infections in the contact, close contact with an index patient with a positive sputum smear, and diagnosis of tuberculosis disease in contact.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">En este trabajo se ha analizado la asociación del tamaño de las reacciones tuberculínicas con diversas variables del contacto y del caso índice en contactos de pacientes tuberculosos con prueba de la tuberculina positiva.</p> <span class="elsevierStyleSectionTitle">Pacientes y Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se revisaron los estudios de contactos realizados a pacientes tuberculosos en el Centro de Prevención y Control de la Tuberculosis de Lleida durante un período de 7 años. Se incluyeron en el trabajo las revisiones realizadas a pacientes tuberculosos con localización pulmonar y/o extrapulmonar. Para el diagnóstico de infección tuberculosa se realizó el test de Mantoux con 2 UT de tuberculina PPD-RT23. Para detectar la enfermedad tuberculosa se examinaron la situación clínica, la radiografía de tórax y la bacteriología. Se analizó la asociación entre el tamaño de la reacción tuberculínica con la edad del contacto, con ser conviviente de un caso índice con baciloscopia positiva y con el diagnóstico de enfermedad tuberculosa en el contacto. Para el análisis de las asociaciones anteriores se utilizó la prueba de la χ<span class="elsevierStyleSup">2</span> de tendencia lineal.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El 85,9% de los 768 contactos con prueba de la tuberculina positiva presentaron un diámetro de induración de la reacción tuberculínica igual o superior a 10 mm, y el 63,8% una induración igual o superior a 15 mm. Al aumentar el tamaño de la induración tuberculínica se detectó un incremento del porcentaje de contactos menores de 15 años (p = 0,006), convivientes de caso índice con baciloscopia positiva (p = 0,013) y con diagnóstico de enfermedad tuberculosa (p = 0,029).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Los contactos con prueba de la tuberculina positiva que presentan reacciones de mayor tamaño se han asociado con mayor frecuencia a contactos con infecciones recientes, a contactos convivientes de caso índice con baciloscopia positiva y a contactos con enfermedad tuberculosa.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:36 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The tuberculin skin test" "autores" => array:1 [ 0 => 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 3 | 10 |
| 2024 October | 30 | 38 | 68 |
| 2024 September | 27 | 29 | 56 |
| 2024 August | 42 | 32 | 74 |
| 2024 July | 20 | 21 | 41 |
| 2024 June | 30 | 28 | 58 |
| 2024 May | 33 | 32 | 65 |
| 2024 April | 19 | 25 | 44 |
| 2024 March | 22 | 25 | 47 |
| 2024 February | 16 | 28 | 44 |
| 2023 March | 4 | 0 | 4 |
| 2023 February | 26 | 23 | 49 |
| 2023 January | 24 | 35 | 59 |
| 2022 December | 20 | 30 | 50 |
| 2022 November | 16 | 17 | 33 |
| 2022 October | 21 | 45 | 66 |
| 2022 September | 19 | 31 | 50 |
| 2022 August | 13 | 27 | 40 |
| 2022 July | 17 | 42 | 59 |
| 2022 June | 12 | 26 | 38 |
| 2022 May | 14 | 31 | 45 |
| 2022 April | 15 | 30 | 45 |
| 2022 March | 17 | 36 | 53 |
| 2022 February | 16 | 35 | 51 |
| 2022 January | 12 | 30 | 42 |
| 2021 December | 13 | 45 | 58 |
| 2021 November | 13 | 43 | 56 |
| 2021 October | 20 | 44 | 64 |
| 2021 September | 13 | 53 | 66 |
| 2021 August | 11 | 23 | 34 |
| 2021 July | 13 | 23 | 36 |
| 2021 June | 11 | 25 | 36 |
| 2021 May | 25 | 25 | 50 |
| 2021 April | 5 | 22 | 27 |
| 2021 March | 16 | 13 | 29 |
| 2021 February | 10 | 11 | 21 |
| 2021 January | 7 | 12 | 19 |
| 2020 December | 9 | 10 | 19 |
| 2020 November | 10 | 4 | 14 |
| 2020 October | 4 | 5 | 9 |
| 2020 September | 8 | 2 | 10 |
| 2020 August | 7 | 7 | 14 |
| 2020 July | 7 | 11 | 18 |
| 2020 June | 5 | 3 | 8 |
| 2020 May | 16 | 12 | 28 |
| 2020 April | 30 | 13 | 43 |
| 2020 March | 11 | 7 | 18 |
| 2020 February | 13 | 11 | 24 |
| 2020 January | 13 | 11 | 24 |
| 2019 December | 16 | 7 | 23 |
| 2019 November | 11 | 4 | 15 |
| 2019 October | 11 | 3 | 14 |
| 2019 September | 15 | 12 | 27 |
| 2019 August | 13 | 8 | 21 |
| 2019 July | 10 | 10 | 20 |
| 2019 June | 5 | 4 | 9 |
| 2019 May | 9 | 7 | 16 |
| 2019 April | 22 | 24 | 46 |
| 2019 March | 5 | 9 | 14 |
| 2019 February | 7 | 8 | 15 |
| 2019 January | 2 | 4 | 6 |
| 2018 December | 7 | 5 | 12 |
| 2018 November | 18 | 11 | 29 |
| 2018 October | 22 | 8 | 30 |
| 2018 September | 10 | 8 | 18 |
| 2018 May | 4 | 0 | 4 |
| 2018 April | 12 | 6 | 18 |
| 2018 March | 5 | 3 | 8 |
| 2018 February | 7 | 5 | 12 |
| 2018 January | 7 | 7 | 14 |
| 2017 December | 4 | 4 | 8 |
| 2017 November | 10 | 3 | 13 |
| 2017 October | 2 | 6 | 8 |
| 2017 September | 19 | 3 | 22 |
| 2017 August | 6 | 8 | 14 |
| 2017 July | 4 | 1 | 5 |
| 2017 June | 17 | 13 | 30 |
| 2017 May | 6 | 8 | 14 |
| 2017 April | 4 | 2 | 6 |
| 2017 March | 5 | 1 | 6 |
| 2017 February | 4 | 3 | 7 |
| 2017 January | 1 | 2 | 3 |
| 2016 December | 6 | 5 | 11 |
| 2016 November | 9 | 8 | 17 |
| 2016 October | 14 | 6 | 20 |
| 2016 September | 10 | 8 | 18 |
| 2016 August | 13 | 5 | 18 |
| 2016 July | 4 | 3 | 7 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 41 | 8 | 49 |
| 2015 September | 49 | 3 | 52 |
| 2015 August | 36 | 7 | 43 |
| 2015 July | 43 | 7 | 50 |
| 2015 June | 36 | 7 | 43 |
| 2015 May | 43 | 4 | 47 |
| 2015 April | 32 | 5 | 37 |
| 2015 March | 38 | 6 | 44 |
| 2015 February | 33 | 4 | 37 |
| 2015 January | 30 | 5 | 35 |
| 2014 December | 36 | 4 | 40 |
| 2014 November | 42 | 5 | 47 |
| 2014 October | 55 | 6 | 61 |
| 2014 September | 44 | 5 | 49 |
| 2014 August | 31 | 8 | 39 |
| 2014 July | 57 | 7 | 64 |
| 2014 June | 33 | 8 | 41 |
| 2014 May | 50 | 13 | 63 |
| 2014 April | 46 | 5 | 51 |
| 2014 March | 53 | 16 | 69 |
| 2014 February | 46 | 9 | 55 |
| 2014 January | 38 | 8 | 46 |
| 2013 December | 49 | 7 | 56 |
| 2013 November | 27 | 5 | 32 |
| 2013 October | 32 | 9 | 41 |
| 2013 September | 36 | 9 | 45 |
| 2013 August | 49 | 9 | 58 |
| 2013 July | 55 | 10 | 65 |
| 2013 June | 48 | 6 | 54 |
| 2013 May | 33 | 6 | 39 |
| 2013 April | 13 | 1 | 14 |
| 2013 March | 5 | 1 | 6 |
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