Teste tuberculínico: comparação de dois instrumentos de leitura / Tuberculin skin test: comparison of two reading instruments [Thesis]. São Paulo: School of Public Health of USP, 2012.

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

08/05/2012

RESUMO

Introduction- The active search of individuals infected with Mycobacterium tuberculosis aims to prevent the development of infection to the disease tuberculosis and ancillary knowledge of new cases of the disease. The tuberculin test is an important tool to identify individuals (infected) and non-reactors reactors (noninfected). It can be applied from various techniques. Nowadays Mantoux intradermal technique is the most widely used and allows the standardization and comparability of results. In Brazil, the reading of the tuberculin test result is performed with a ruler, by recommendation of the Ministry of health. For its use is required a rigorous training, which has contributed to the decline of tuberculin test readers in routine health services. Alternatively, caliper rule is a technique that can be used, but it is not standardized in Brazil. Objective- Compare the reading instruments of tuberculin skin test results obtained through the standardized reading, made by a millimeter ruler, and reading, not standardized, made with a caliper rule. Method- It was a descriptive study in a prison population of a Penitentiary and a Provisional Detention Centre in the city of Guarulhos, São Paulo, between the months of March to June 2008. Tuberculin test reading was done in a double blind, tuberculin test by two readers, with different instruments, ruler and caliper rule. Results- Tuberculin skin tests were administered to 1,954 individuals; of these 111 was excluded for failing to appear for the reading test, resulting in a sample of 1,843 individuals divided in 1,059 (57.5 per cent ) in Penitentiary and 784 (42.5 per cent ) in the Provisional Detention Center. The comparative results between the two instruments were high and equivalent (sensitivity=93 per cent and specificity=97 per cent ). The average correlation was high among the two instruments (95.5 per cent ) and the disagreement was low (4.5 per cent ). The Ministry of Health recommends a concordance above 80 per cent for benchmarking new readers. Conclusions- We observed that the caliper rule can be considered equivalent to the rule and may be an alternative for reading the tuberculin test in Brazil, especially to search for latent TB cases. However, the rule should be maintained, especially toepidemiological investigations

ASSUNTO(S)

caliper rule leitura do teste millimeter ruler paquímetro reading of the test régua milimetrada teste tuberculínico tuberculin skin test

ACESSO AO ARTIGO

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