Saturday, January 13, 2007

到底Mantoux Test能不能测出是否接种过BCG呢?

也许俺的Mantoux Test皮试是白做了。中国的医疗纪录就是成问题啊。大家为了报销,用过的姓名就都是一箩筐。追查小时候生病时的处方和接种过的疫苗就更是Mission Impossible了。

至于这个问题,还是那个包治百病的理由——个体差异。

http://www.moh.govt.nz/moh.nsf/0/4760DF3580A6F5B5CC256C86006ED394/$File/2.Mantouxtesting.pdf
The effect of BCG vaccination on tuberculin reactivity

  • The level of reactivity in a vaccinated person is variable, ranging between 0 and 15 mm. Reversion can occur (eg, the reaction wanes with time).
  • A Mantoux reaction of > 15 mm induration should not be attributed to BCG vaccination.
  • There is no relationship between the post-vaccination Mantoux result and protection against TB disease. Routine post-BCG vaccination tuberculin testing serves no purpose

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