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Volume 2002, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

To correlate standard tuberculin skin test (TST) results in children diagnosed with active tuberculosis (TB), data was collected retrospectively from the tuberculosis treatment unit, State of Qatar, during the period 1992 to 1996. Sixtysix patients with confirmed tuberculosis included 42 (64%) with pulmonary TB, 24 (36%) with extra-pulmonary TB, 34 Qatar nationals (52%) and 36 females (55%). Mean TST was 13.5 mm ± 9.8mm. TST was negative in 18 (27%), 5-10 mm in three (5%), 10-15 mm in eight (12%) and 15mm or more in 37 (56%) patients. Lower false negative (reaction less than 10mm) was found in five (18%) of the older children (10 to 14 years).

It is concluded that, since one-third of the children with confirmed active tuberculosis had a false negative TST, clinical judgement remains the essential determinant. However, TST remains a potent aide for epidemiological and diagnostic purposes and periodic assessment of this is highly recommended.

© 2002 Al Marri et al., licensee Bloomsbury Qatar Foundation Journals.
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2002-06-01
2025-01-18
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References

  1. Sbarbaro JA. Skin testing in the diagnosis of tuberculosis. Seminars in respiratory infections Dec. 1986; 1:4:234–238.
     [Google Scholar]
  2. Huebner RE, Schein MF, Bass JH. The tuberculin skin test. Clin Infect Dis. 1993; 17::968–975.
     [Google Scholar]
  3. World Health Organisation Tuberculosis Reasearch Office. Further studies of geographic variation in naturally acquired tuberculin sensitivity. Bulletin of the World Health Organisation. 1955; 22::63.
     [Google Scholar]
  4. Snell NJC. A comparison of Mantoux and tuberculin tine[??] testing in a chest Unit. Tubercule. 1979; 60::99.
     [Google Scholar]
  5. Cosemans J. Louwagic. Tuberculin reactivity in patients with sputum positive tuberculosis. Bulletin of the International Union against Tuberculosis. 1979; 54::155.
     [Google Scholar]
  6. Cruz A, Manalo F, Lopez J, Faraon A. Reactions of confirmed Tuberculosis patients to standard tuberculin test. Chest Diseases. 1978; 11::27.
     [Google Scholar]
  7. MecMurry D, Echevirri A. Cell-mediated immunity in anergic patients with pulmonary tuberculosis. American Review of Respiratory. 1978;:118.
     [Google Scholar]
  8. Kim SJ, Hong YP, Bai GH, Lee EK, Lew WJ, Tuberculin TSTRT23:. has it lost some of its potency? Int. J. Tuberc. Lung. Dis. Oct. 1998; 2:10:857–860.
     [Google Scholar]
  9. Kim SJ, Hong YP, Bai GH, Lee Ek, Lew WJ. The debate about the stability ofTSTRT23 is not closed (comment). Int. J. Tuberc. Lung. Dis. Oct. 1998; 2:10:795–796.
     [Google Scholar]
  10. Haslov K, Ponce de Leon Rosales S, Rangel Frausto S, Olesen Larsen S. Tuberculin TST RT 23: still going strong. Int. J. Tuberc. Lung Dis. Oct. 1998; 2:10:793–795.
     [Google Scholar]
  11. Starke JR, Jacobs RF, Jereb J. Medical Progress. Resurgence of tuberculosis in children. The Journal of Pediatrics. June. 1992; 120:6:839–855.
     [Google Scholar]
  12. Steiner P, Rao M, Victoria MS. Persistently negative tuberculin reactions. Am J Dis Child. 1980; 134::747–750.
     [Google Scholar]
  13. Nash DR, Douglass JF. Anergy in active pulmonary tuberculosis. Chest. 1980; 77::32–34.
     [Google Scholar]
/content/journals/10.5339/qmj.2002.1.12
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  • Article Type: Research Article
Keyword(s): children and Qatar, TST and Tuberculosis

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