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Diagnostic and Prognostic Significance of the Quantitative Tuberculin Tests

1967; American College of Physicians; Volume: 67; Issue: 5 Linguagem: Inglês

10.7326/0003-4819-67-5-919

1539-3704

David T. Smith,

Tuberculosis Research and Epidemiology

Article1 November 1967Diagnostic and Prognostic Significance of the Quantitative Tuberculin TestsThe Influence of Subclinical Infections with Atypical MycobacteriaDAVID T. SMITH, M.D., F.A.C.P.DAVID T. SMITH, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-67-5-919 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptFifty years ago practically everyone over 20 years of age in the industrialized areas of Europe and the United States had been infected with human tubercle bacilli and gave strong positive reactions to standard doses of tuberculin. The tuberculin test was used routinely on the pediatric wards but not on the adult wards. Medical students were neither skin-tested nor X-rayed. It was known even then that many developed clinical tuberculosis and some died, but the risk of developing clinical tuberculosis was accepted as a part of the hazard of being a physician.In the early 1930's reports appeared that showed...References1. SMITHJOHNSTONCAINSCHUMACHER DTWWIMM: Changes in the tuberculin pattern in students between 1930 and 1960. Amer. Rev. Resp. Dis. 83: 213, 1961. Google Scholar2. HETHERINGTONMCPHEDRANLANDISOPIE HWFMHREL: Further study of tuberculin among medical and other university students. Arch. Intern. Med. (Chicago) 55: 709, 1935. CrossrefGoogle Scholar3. HETHERINGTONMCPHEDRANLANDISOPIE HWFMHREL: Tuberculosis in medical and college students. Arch. Intern. Med. (Chicago) 48: 734, 1931. CrossrefGoogle Scholar4. HERMANBAETJERDOULL NBFHJA: Tuberculous infection in medical students. Bull. Hopkins Hosp. 51: 41, 1932. Google Scholar5. SMITHJOHNSTON DTWW: New aspects of mycobacterial skin tests. II. 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Illinois Tuberc. Ass. 23: 132, 1960. Google Scholar62. WEBER RE: The Whitehall episode. Bull. Nat. Tuberc. Ass. 47: 4, 1961. Google Scholar63. SUTHERLAND I: The evolution of clinical tuberculosis in adolescents. Tubercle 47: 308, 1966. Google Scholar64. OCHS CW: The epidemiology of tuberculosis. JAMA 179: 247, 1962. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: DAVID T. SMITH, M.D., F.A.C.P.Affiliations: Durham, North CarolinaFrom the Department of Community Health Sciences, Duke University School of Medicine, Durham, N. C.This study was presented as the James D. Bruce Memorial Award Lecture at the 48th Annual Session of the American College of Physicians, San Francisco, April 10, 1967.Requests for reprints should be addressed to David T. Smith, M.D., Department of Community Health Sciences, Duke Medical Center, Durham, N. C. 27706. 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Annual review of significant publications.Problems in the Control of Tuberculosis 1 November 1967Volume 67, Issue 5Page: 919-946KeywordsDiagnostic medicinePrevention, policy, and public healthTuberculinTuberculin tests ePublished: 1 December 2008 Issue Published: 1 November 1967 Copyright & PermissionsCopyright ©, 1967, by The American College of PhysiciansPDF downloadLoading ...