Latent tuberculosis infection among university students
https://doi.org/10.21292/2075-1230-2020-98-3-27-31
Abstract
Objective: to study the prevalence of latent tuberculosis infection (LTBI) among university students, to evaluate the effectiveness of preventive treatment in students with LTBI.
Subjects and methods. In 2016-2019, the three-stage study was conducted that enrolled all university students in the city of Stavropol.
In 2016-2017 during the first stage of the study, 4,139 students had tests with tuberculous recombinant allergen (TRA).
At the second stage of the study, 141 medical files of students with positive results of TRA tests were retrospectively analyzed, all students were followed up and 133 of them underwent preventive treatment.
In 2018-2019 at the third stage of the study, the long-term results of preventive treatment were evaluated.
Results. Tests with TRA allowed detecting LTBI and defining indications for preventive treatment with anti-tuberculosis drugs. Among 133 students with LTBI who had preventive treatment, there were no cases of tuberculosis; sensitivity to TRA decreased, which manifested by a decreased induration size during the control test. Thus, in 36 months of follow-up over 83 patients with hyperergic reaction, it persisted only in 4 of them.
About the Authors
O. D. BaranovaRussian Federation
Olga D. Baronova - Candidate of Medical Sciences, Deputy Head Doctor for Out-Patient Medical Care.
56, Dostoevskiy St., Stavropol, 355019, Phone/Fax: +7 (8652) 28-76-68; +7 (8652) 28-69-52
V. A. Аksenova
Russian Federation
Valentina A. Aksenova - Doctor of Medical Sciences, Professor, Head of Children and Adolescents Tuberculosis Department.
Build. 2, 4, Dostoevskiy St., Moscow, 127473
N. I. Klevno
Russian Federation
Nadezhda I. Klevno - Doctor of Medical Sciences, Professor, Leading Researcher of Children and Adolescents Department.
Build. 2, 4, Dostoevskiy St., Moscow, 127473
V. S. Odinets
Russian Federation
Vasiliy S. Odinets - Candidate of Medical Sciences, Head Physician.
56, Dostoevskiy St., Stavropol, 355019
References
1. Аksenova VA., Baryshnikova LA., Klevno N.I., Kudlay DA. Screening for tuberculosis infection in children and adolescents in Russia - past, present, future. Tuberculosis and Lung Diseases, 2019, no. 9, pp. 59-67. (In Russ.)
2. Аksenova УА., Levi D.T., Аleksandrova N.V., Kudlay DА. Current tuberculosis incidence in children, agents for the infection prevention and diagnostics. Biopreparaty. Profilaktika, Diagnostika, Lechenie, 2017, vol. 17, no. 3, pp. 145-151. (In Russ.)
3. Koshechkin VA., Ivanova ZA., Shirmanov VI., Burakova M.V. Structure of clinical forms of tuberculosis in new cases of tuberculosis in the students of the RUDN University. Trudny Patsient, 2014, vol. 12, no. 3, pp. 48-49. (In Russ.)
4. Nechaeva O.B. Socially important infectious diseases posing a biological threat to the population of Russia. Tuberculosis and Lung Diseases, 2019, vol. 97, no. 11, pp. 7-17. (In Russ.)
5. Edict no. 952 by the RF Government dated 09.08.2017 On Recognizing Certain Provisions of Acts of the RF Government Invalid. (In Russ.) Epub. Available: http//publication.pravo.gov.ru/Document/View/0001201708140005. Accessed 14.08.2017).
6. Edict no. 7667-06 by Rospotrebnadzor Directorate in the Stavropol Region dated 30.05.2016 On the Examination of Foreign Students for Tuberculosis. (In Russ.)
7. Slogotskaya L.V., Bogorodskaya E.M., Senchikhina O.Yu., Nikitina G.V, Kudlay DA. Formation of risk groups among children facing an advanced risk to develop tuberculosis who should undergo various immunological examinations. RossiyskiyPediatricheskiyJournal, 2017, vol. 20, no. 4, pp. 207-213. (In Russ.)
8. Slogotskaya L.V., Sinitsyn M.V., Kudlay DА. Possibilities of immunological tests in the diagnosis of latent tuberculosis infection and tuberculosis. Tuberculosis and Lung Diseases, 2019, vol. 97, no. 11, pp. 46-58. (In Russ.)
9. Starshinova А.А., Kudlay DA., Dovgalyuk I.F., Basantsova N.Yu., Zinchenko Yu.S., Yablonskiy PK. Efficacy of new methods of immunodi agnostics of tuberculous infection in the Russian Federation. Pediatriya, 2019, vol. 98, no. 4, pp. 229-235. (In Russ.) doi: 10.24110/0031-403X-2019-98-4-229-235.
10. Federalnye klinicheskie rekomendatsii po diagnostike i lecheniyu latentnoy tuberkuleznoy infektsii u detey. [Federal clinical recommendations on diagnostics and treatment of latent tuberculous infection in children]. Moscow, ROOI Zdorovye Cheloveka Publ., 2015, 36 p.
11. Dara M., Gushulak B.D., Posey D.L. et al. The history and evolution of immigration medical screening for tuberculosis. Expert Rev. Anti-infect. Ther., 2013, no. 11, pp. 137-146.
12. Shovkun L., Aksenova V., Kudlay D., Sarychev A. The role of immunological tests in the diagnosis of tuberculosis infection in children with juvenile idiopathic arthritis (JIA). Eur. Respir. J., 2018, no. 52, (supplement 62), PA2733.
13. Slogotskaya L.V., Bogorodskaya E., Sentchichina O., Ivanova D., Nikitina G., Litvinov V., Seltsovsky P., Kudlay D.A., Nikolenko N., Borisov S. Effectiveness of tuberculosis detection using a skin test with allergen recombinant (CFP-10-ESAT-6) in children. Eur. Respir. J., 2015, no. 46 (S59), РА4524.
14. Slogotskaya L.V., Litvinov V., Kudlay D.A., Ovsyankina E., Seltsovsky P., Ivanova D., Nikolenko N. New skin test with recombinant protein CFP10-ESAT6 in patients (children and adults) with tuberculosis, non-tuberculosis disease and latent TB infection. Eur. Respir. J., 2012, no. 40 (S56), pp. 416.
15. Slogotskaya L.V., Litvinov V., Ovsyankina E., Seltsovsky P., Kudlay D. Results of QuantiFERON-TB Gold in-tube and skin testing with recombinant proteins CFP-10-ESAT-6 in children and adolescents with TB or latent TB infection. Paediatric Respiratory Reviews, 2013, vol. 14, no. 2, pp. S65.
Review
For citations:
Baranova O.D., Аksenova V.A., Klevno N.I., Odinets V.S. Latent tuberculosis infection among university students. Tuberculosis and Lung Diseases. 2020;98(3):27-31. (In Russ.) https://doi.org/10.21292/2075-1230-2020-98-3-27-31