Tuberculin testing of newly calved cows

Trevor O. Jones

doi:10.1136/vr.l882

THE EFFECT OF REPEATED TUBERCULIN TESTING ON POST-VACCINATION ALLERGY A PRELIMINARY NOTE

The Lancet ◽

10.1016/s0140-6736(55)92482-x ◽

1955 ◽

Vol 266 (6891) ◽

pp. 643-644 ◽

Cited By ~ 28

Author(s):

K MAGNUS

Keyword(s):

Preliminary Note ◽

Post Vaccination ◽

Tuberculin Testing

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Tuberculin Testing in the Pediatric Office and Clinic

PEDIATRICS ◽

10.1542/peds.64.6.965 ◽

1979 ◽

Vol 64 (6) ◽

pp. 965-966

Author(s):

Edwin L. Kendig

Keyword(s):

American Academy ◽

Disease Control ◽

School Children ◽

Tuberculin Test ◽

Pediatric Clinic ◽

American Academy Of Pediatrics ◽

Tuberculin Testing ◽

The Difference ◽

Low Rate

Another article in this issue of Pediatrics, "Assessment of Tuberculin Screening in an Urban Pediatric Clinic," (p 856) again focuses attention on a weighty question: Is routine use of the tuberculin test important? The authors have pointed out the difference in philosophy of the Center for Disease Control, and the American Academy of Pediatrics. The Center for Disease Control recommends that routine tuberculin testing for school children and other similar programs be abandoned if the yield of positive tuberculin reactions is less than 1%1; this recommendation is based on the assumption that discovery of cases at this low rate will not have epidemiologic impact (italics added).

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PUBLIC HEALTH, NURSING, MEDICAL SOCIAL WORK

PEDIATRICS ◽

10.1542/peds.21.2.319 ◽

1958 ◽

Vol 21 (2) ◽

pp. 319-324

Author(s):

Floyd M. Feldmann

Keyword(s):

Public Health ◽

Patch Test ◽

Tuberculin Test ◽

Preliminary Test ◽

Outpatient Services ◽

Medical Social Work ◽

Striking Change ◽

Tuberculin Testing ◽

Health Nursing ◽

The Individual

As a pediatric problem, tuberculosis has undergone striking change in the past decades, yet few diseases have the complicated interrelationship of personal and community significance that is peculiar to tuberculosis. Management of the tuberculous patient has become largely a matter for hospital and specialized outpatient services, and the individual practitioner has been chiefly concerned with case finding in his own practice. Since the tuberculin test is such an important tool in this respect, the editors thought such a review as presented by Dr. Feldmann of particular importance. A number of controversial points are touched on. In any public health procedure a routine screening test has value in relation to the proportion of positives likely to result. A test which results in more than 50% positive is not very helpful. On the other hand, a test with one positive in 1,000 is probably too expensive. Dr. Feldmann points out the cogent reasons for routine tuberculin testing and the pediatrician will need to consider these reasons in the light of the conditions in his community and the relevant local and state health program. Some may be disturbed by the criticism made of the patch test, yet it is important to recognize its limitations. Failure of the patch test to detect all positives has been well known and most pediatricians have thought it useful chiefly as a preliminary test to find the more sensitive reactors.

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