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Overdiagnosis of Tuberculosis and Role of Tuberculin Test
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ARTICLE HISTORY
Received 13 March 2021
Accepted 3 August 2021
DOI:
https://doi.org/10.7199/ped.oncall.2022.35
CITE THIS ARTICLE
Parikh S, Shah I, Paikrao P. Overdiagnosis of Tuberculosis and Role of Tuberculin Test. Pediatr Oncall J. 2021 Aug 03. doi: 10.7199/ped.oncall.2022.35
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ORIGINAL ARTICLE
Overdiagnosis of Tuberculosis and Role of Tuberculin Test
Shefali Parikh, Ira Shah, Pradnya Paikrao.
Pediatric TB Clinic, Department of Pediatric Infectious Diseases, B J Wadia Hospital for Children, Mumbai, India.
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Abstract
This is a retrospective analysis of children who were referred to our tuberculosis (TB) clinic from March 2010 to Feb 2011 but were not started on ATT and none of them subsequently developed TB. Interpretation of tuberculin test as a means of diagnosis was analysed.
Results:
Thirty-four (11.2%) children were overly diagnosed as TB. Seventeen out of 28 referred children were tuberculin positive and 8 were tuberculin negative. Also, 12 of tuberculin positive children had a reading of ≥15mm, yet none of them developed active disease. Although 2 TU is the recommended standard dose for tuberculin testing in India, in our study no child had received 2 TU, 23.5% of tuberculin positive patients had received a 5 TU dose and 35.3% a 10 TU dose.
Conclusion:
Most children with over-diagnosis of TB receive TT with more than 2TU units. The size of tuberculin reaction needs to be interpreted carefully.
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Disease A-Z
Health Topics
Alternative Medicine
Developmental Pediatrics
General Pediatrics
Genetics
Immunodeficiencies
Infectious Diseases
Laboratory Medicine
Neonatology
Nutrition
Pediatric Cardiology
View all topics
Featured Articles
Anal fissure
Urticaria (hives) and angioedema
Circumcision
Skin allergies
Anal itching
Cushing's syndrome
Kids Corner
Drugs & Calculators
Medical Calculators
Drug Calculators
Growth Calculators
Renal Calculators
View all Calculators
Drug Index
ACE inhibitor
Alkylating agents
Allergies
View all Drugs
Poisoning Center
Aluminum phosphide
Anti-histaminics
Antidepressants
View all Drugs
Medical Eqipments
Monitors
Pumps
Incubators
View all Eqipments
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