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Published on: September 19, 2016
[Can the Mantoux test be used in BCG vaccinated children?]
E S Sarinho1, A S Aguiar Filho, A M Silva
1Universidade Federal de Pernambuco.
Insights
BCG vaccination in infants showed a 28.57% Mantoux reactivity rate in children, with 10 developing clinical tuberculosis. However, BCG did not significantly alter tuberculin test results in children under six years old.
Area of Science:
- Pediatrics
- Immunology
- Infectious Diseases
Context:
- Bacille Calmette-Guérin (BCG) vaccination is a primary method for preventing tuberculosis (TB) in infants.
- Assessing the long-term efficacy and Mantoux tuberculin test reactivity post-BCG vaccination is crucial for TB control strategies.
- Understanding the impact of BCG on tuberculin skin test (TST) results in early childhood is essential for accurate TB diagnosis.
Purpose:
- To evaluate the Mantoux tuberculin test reactivity in children vaccinated with BCG in infancy.
- To determine the incidence of clinical tuberculosis among BCG-vaccinated children with positive tuberculin tests.
- To assess the influence of BCG vaccination on TST results across different age groups, particularly in children under six years old.
Summary:
- A prospective trial involved 371 infants vaccinated with BCG, followed by Mantoux tuberculin testing.
- Of the BCG-vaccinated children, 28.57% (106) showed Mantoux reactivity, with 10 diagnosed with clinical tuberculosis.
- No significant difference in TST results was observed between BCG-vaccinated and non-vaccinated children under six; only 36.36% of two-year-olds reacted positively to PPD.
Impact:
- The findings suggest BCG vaccination may have a limited impact on Mantoux reactivity in early childhood.
- This research aids in refining TB diagnostic approaches and understanding BCG's protective effects in diverse pediatric populations.
- Results highlight the need for further investigation into BCG efficacy and its interaction with tuberculin testing for effective global TB prevention.
Abstract:
This prospective trial was realized in 371 children previously vaccinated with BCG in the first month of life in whom the Mantoux tuberculin test was done and read 48-72 hours afterwards. Among 371 BCG-vaccinated children, 106 (28.57%) were Mantoux reactive, 10 of whom with clinical tuberculosis. There was no statistically significant difference in the tuberculin test between the control group (59 non-BCG-vaccinated children) and 180 vaccinated children, considering those under 6 years old. When we compared by age, we verified that just 36.36% of the children at the age 2 reacted positively to PPD.
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