When is referral of Heaf test positive schoolchildren worth while? Prospective study

Booth, Hanna; Pollitt, Christopher C.; Jessen, Elena; Hendrick, DJ; Cant, Andrew J.

doi:10.1136/bmj.313.7059.726

Cited by 4 publications

(4 citation statements)

References 2 publications

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“…No action is recommended for those with Heaf grade 2. In an area with an unusually high prevalence of tuberculosis, referral of children with grade 2 reactions has been advocated99 but the evidence for the effectiveness of this approach is limited and the yield of cases very low100 101; the approach is not generally recommended.…”

Section: Bcg Immunisationmentioning

confidence: 99%

Control and prevention of tuberculosis in the United Kingdom: Code of Practice 2000

Joint¹

2000

Thorax

298

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BACKGROUND The guidelines on control and prevention of tuberculosis in the United Kingdom have been reviewed and updated. METHODS A subcommittee was appointed by the Joint Tuberculosis Committee (JTC) of the British Thoracic Society to revise the guidelines published in 1994 by the JTC, including representatives of the Royal College of Nursing, Public Health Medicine Environmental Group, and Medical Society for Study of Venereal Diseases. In preparing the revised guidelines the authors took account of new published evidence and graded the strength of evidence for their recommendations. The guidelines have been approved by the JTC and the Standards of Care Committee of the British Thoracic Society. RECOMMENDATIONS Tuberculosis services in each district should have staffing and resources to fulfil both the control and prevention recommendations in this document and to ensure adequate treatment monitoring. Notification of tuberculosis is required for surveillance and to initiate contact tracing (where appropriate). The following areas are discussed and recommendations made where appropriate: (1) public health law in relation to tuberculosis; (2) the organisational requirements for tuberculosis services; (3) measures for control of tuberculosis in hospitals, including segregation of patients; (4) the requirements for health care worker protection, including HIV infected health care workers; (5) measures for control of tuberculosis in prisons; (6) protection for other groups with potential exposure to tuberculosis; (7) awareness of the high rates of tuberculosis in the homeless together with local plans for detection and action; (8) detailed advice on contact tracing; (9) contact tracing required for close contacts of bovine tuberculosis; (10) management of tuberculosis in schools; (11) screening of new immigrants and how this should be performed; (12) outbreak contingency investigation; and (13) BCG vaccination and the management of positive reactors found in the schools programme.

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Section: Bcg Immunisationmentioning

confidence: 99%

Control and prevention of tuberculosis in the United Kingdom: Code of Practice 2000

Joint¹

2000

Thorax

298

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“…An optimal radiotherapy regimen palliates symptom with minimal toxicity. In general, the published data regarding toxicity, reveals that treatment was well tolerated [16][17][18].…”

Section: Discussionmentioning

confidence: 99%

“…The doses of radiotherapy described by Janseen et al were higher compared with those used in our study. In addition, Frank et al [16] investigated 159 patients with NSCLC and compared 30 Gy/10 fractions, 25 Gy/five fractions, 15 Gy/three fractions and 10 Gy/one fraction, finding no statistically significant correlation between overall survival and radiotherapy regimes. It is difficult to directly compare this study with others finding a positive correlation between increased fractionation and overall survival, as the fractionation schemes utilized in each study are variable with a large range in EQD2.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting survival after palliative radiotherapy in patients with lung cancer

Aires

Rodrigues

Marques

et al. 2021

Rep Pract Oncol Radiother.

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“…In addition, implementing preventive therapy in different settings becomes troublesome. 45 BCG vaccination could thus be playing negative role in TB control.…”

Section: Discussionmentioning

confidence: 99%

BCG Vaccination and Tuberculosis in Japan.

Rahman

Takahashi

Goto

et al. 2003

Journal of Epidemiology

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This paper summarizes Bacillus Calmette-Guesrin (BCG) vaccination and revaccination policies in Japan, its cost-effectiveness, side effects, proposed selective vaccination strategy, and present tuberculosis situation in Japanese perspectives based on Medline database and other published reports. Universal BCG vaccination in infants and revaccination among children were not found economically justifiable. Overall tuberculosis incidence in Japan is higher than that of other developed countries. Trend of decline in tuberculosis incidence is similar to that of the countries where universal BCG vaccination has never been implemented. In the recent years, the number of tuberculosis group infection has been escalating. Since BCG revaccination program has already been discontinued, a consensus on universal BCG vaccination is also essential based on social, political, and economical factors. Side by side, more pragmatic strategies such as well-defined tuberculin test, selective vaccination policy based on tuberculosis incidence in each administrative zone, and early vaccination of high risk groups, should be formulated.

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When is referral of Heaf test positive schoolchildren worth while? Prospective study

Cited by 4 publications

References 2 publications

Control and prevention of tuberculosis in the United Kingdom: Code of Practice 2000

Control and prevention of tuberculosis in the United Kingdom: Code of Practice 2000

Factors affecting survival after palliative radiotherapy in patients with lung cancer

BCG Vaccination and Tuberculosis in Japan.

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