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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1991-4-10
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pubmed:abstractText |
The BCG vaccination is not recommended for health-care workers in the United States. The current strategy against tuberculosis in tuberculin-negative house staff is an annual tuberculin screening test followed by chemoprophylaxis with isoniazid for a positive result. We performed a decision analysis that unequivocally concluded that the BCG vaccination leads to fewer cases of tuberculosis in this population over a 10-yr period. The BCG vaccine requires only an efficacy rate of at least 13.1% to prevent more cases of tuberculosis than the current strategy. This threshold value is independent of the annual tuberculin conversion rate. This study provides a framework, based on the best information in the literature, on which a well-informed decision regarding tuberculosis prevention can be made. Therefore, this analysis demonstrates that the BCG vaccine should be considered for tuberculin-negative house officers and medical students working in high risk areas of the United States.
|
pubmed:commentsCorrections | |
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
AIM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Mar
|
pubmed:issn |
0003-0805
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
143
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
490-5
|
pubmed:dateRevised |
2006-11-15
|
pubmed:meshHeading |
pubmed-meshheading:2001055-BCG Vaccine,
pubmed-meshheading:2001055-Decision Support Techniques,
pubmed-meshheading:2001055-Humans,
pubmed-meshheading:2001055-Internship and Residency,
pubmed-meshheading:2001055-Isoniazid,
pubmed-meshheading:2001055-Occupational Diseases,
pubmed-meshheading:2001055-Probability,
pubmed-meshheading:2001055-Tuberculin Test,
pubmed-meshheading:2001055-Tuberculosis, Pulmonary
|
pubmed:year |
1991
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pubmed:articleTitle |
Tuberculosis in house staff. A decision analysis comparing the tuberculin screening strategy with the BCG vaccination.
|
pubmed:affiliation |
Department of Community Medicine, Mount Sinai School of Medicine, New York, New York.
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pubmed:publicationType |
Journal Article,
Comparative Study
|