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M9480595.TXT
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1994-08-20
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Document 0595
DOCN M9480595
TI The evolution of tuberculosis infection among schoolchildren in
Barcelona and the HIV epidemic.
DT 9410
AU Villalbi JR; Cayla JA; Iglesias B; Ferrer A; Casanas P; Institut
Municipal de la Salut, Barcelona City Health Department,; Spain.
SO Tuber Lung Dis. 1994 Apr;75(2):105-9. Unique Identifier : AIDSLINE
MED/94305145
AB SETTING: First grade students in primary schools in the city of
Barcelona, Spain. OBJECTIVE: To estimate the prevalence of tuberculin
reaction and sources of infection; to analyse trends in comparison with
previous data. DESIGN: Tuberculin screening of first grade
schoolchildren (1985 birth cohort) was undertaken in 1991-92 using 2 TU
of PPD RT23. RESULTS: The prevalence of reactors among the 12,007
children tested from the 1985 cohort was 0.87%, varying among districts
between 0.13% and 3.03%. Follow-up of positive tests was completed for
75 children, which led to the identification of 6 cases of previously
unknown clinical tuberculosis among these children, while for 14
infected children index cases were found, one of whom was a confirmed
HIV-infected IVDU. CONCLUSION: The comparison of results with data from
previous studies suggests that tuberculosis infection among
schoolchildren in Barcelona may not be declining as in previous years,
especially in areas such as the inner city, where poverty combines with
HIV infection and with increasing migration from countries with a higher
tuberculosis prevalence.
DE Child Cohort Studies Human HIV Infections/COMPLICATIONS/*EPIDEMIOLOGY
Prevalence Spain/EPIDEMIOLOGY Tuberculin Test Tuberculosis,
Pulmonary/COMPLICATIONS/*EPIDEMIOLOGY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).