Document Detail


Real and apparent tuberculin skin test conversions in a group of medical students.
MedLine Citation:
PMID:  7983344     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate tuberculin skin test (TST) conversions among a group of medical students. DESIGN: Questionnaire sent to a medical school class in whom a cluster of TST conversions was noted, and interview and repeat TST of students with conversion. SETTING: County hospital and associated medical school. SUBJECTS: Medical students, after their third year in medical school. RESULTS: Of 165 students in the class, 115 (70%) responded; 10 reported TST conversions between the beginning of the third and the fourth year. Seven of 10 were interviewed, and all 10 were retested. Five students, all in a cohort who tested each other during a clinical clerkship with a tuberculin material previously reported to be associated with a high rate of false-positive TSTs, were TST negative on repeat. Five had persistently positive TSTs. One was exposed during a psychiatry clerkship to a resident with pulmonary tuberculosis. Four students appeared to have converted their TST during their third year in medical school. All four did their medicine clerkship at a large county hospital (P < 0.02; odds ratio = 16.4) that had few infection control measures in place for tuberculosis isolation during the time of their exposure. CONCLUSIONS: We recommend that medical students, as well as other healthcare professions students, be educated about infection control practices and skin tested at least annually during clinical training years.
Authors:
R Wurtz; J Fernandez; B Jovanovic
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Infection control and hospital epidemiology : the official journal of the Society of Hospital Epidemiologists of America     Volume:  15     ISSN:  0899-823X     ISO Abbreviation:  Infect Control Hosp Epidemiol     Publication Date:  1994 Aug 
Date Detail:
Created Date:  1995-01-04     Completed Date:  1995-01-04     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8804099     Medline TA:  Infect Control Hosp Epidemiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  516-9     Citation Subset:  IM; N    
Affiliation:
Division of Infectious Disease, Cook County Hospital, Chicago, IL 60612.
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MeSH Terms
Descriptor/Qualifier:
Chicago
Evaluation Studies as Topic
Hospitals, University
Humans
Infection Control / standards*
Interviews as Topic
Questionnaires
Schools, Medical
Students, Medical / statistics & numerical data*
Tuberculin Test* / statistics & numerical data
Comments/Corrections
Comment In:
Infect Control Hosp Epidemiol. 1994 Aug;15(8):510-2   [PMID:  7983342 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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