PEDIATRICS Vol. 98 No. 1 July 1996, pp. 123-125
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Tuberculosis Skin Testing: New Schools of Thought

Jeffrey R. Starke MD1

1 Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030

In the past 10 years, I have cared for more than 500 children and adolescents with tuberculosis. Only one of them—an asymptomatic 5-year-old with mild hilar adenopathy—was discovered via a school skintesting program, although since 1990, the Houston Independent School District has required all new entrants to have a tuberculin skin test. During the last 5 years, the number of children in Houston with tuberculosis has increased. School-based skin testing has neither found many active cases nor prevented their occurrence.

At first glance, requiring all schoolchildren to have a tuberculin skin test seems to be a reasonable response to the desire to promote prevention of a potentially serious and still prevalent disease.

Submitted on March 18, 1996
Accepted on March 27, 1996




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