EPIDEMIOLOGY OF TUBERCULOSIS IN PHYSICIANS

被引:95
作者
BARRETTCONNOR, E [1 ]
机构
[1] UNIV CALIF SAN DIEGO, DEPT COMMUNITY MED, LA JOLLA, CA 92093 USA
来源
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION | 1979年 / 241卷 / 01期
关键词
D O I
10.1001/jama.241.1.33
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The incidence of tuberculosis in physicians was determined by mailed questionnaire. Since 1950 tuberculosis infection preceding entry into medical school decreased by 73%; at the same time, infection after beginning medical school decreased by 78%. Tuberculin conversion rates among recent graduates exceeded 1%/yr, and age-specific infection rates among physicians were at least twice the USA average. Tuberculosis developed in nearly 1 in 10 physicians infected after medical school entry; in 2/3, disease preceded or coincided with recognized tuberculin positivity. No tuberculosis occurred in physicians who used isoniazid chemoprophylaxis, but 2/3 of tuberculin-negative physicians did not have annual skin tests, 56% of known recent converters used no chemoprophylaxis and 25% of those initiating isoniazid prophylaxis did not complete a 12 mo. course. The BCG vaccine recipients had 80% less tuberculosis than unimmunized physicians infected after beginning medical school.
引用
收藏
页码:33 / 38
页数:6
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