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Tuberculin Reactors Among Children in Highly Infected Chicago Areas FREE

LEONARD L. BRAUN, M.D.
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Submitted for publication March 21, 1956; cepted May 15.


AMA Am J Dis Child. 1957;93(4):436-452. doi:10.1001/archpedi.1957.02060040438013.
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Interest in tuberculosis in childhood, acquired during several years of observation of children in the Mantoux Clinic at Children's Memorial Hospital and the Pediatric Chest Clinic at Michael Reese Hospital led to a study of the incidence of tuberculin reactors among the clinic populations of these institutions. The pupils at one elementary school in close proximity to Michael Reese Hospital were also tested.

Organization of Study  A. Michael Reese Hospital.—The study ran over an 11-month period—June, 1952, to May, 1953. Selection of patients for testing was made at random in the General Pediatric Clinic, 15 to 20 children being tested at four clinic sessions weekly on Monday, Wednesday, Thursday, and Friday. Readings were made 96 hours later, except for the tests applied on Wednesday, which were read after 120 hours. The Vollmer patch test was used, with the patch applied to the intrascapular area to the left of the

REFERENCES

Martin, D. W., and Arena, J. M.:  Relationship of Race to the Incidence of Diphtheria and to Schick, Tuberculin, and Wasserman Tests in Hospitalized Children , J. Pediat. 32:530, 1948;.
Myers, J. A.: Tuberculosis Among Children and Adults , Ed. 3, Springfield, Ill., Charles C Thomas, Publisher, 1951;, p. 148.
Hughes, J. G.:  The Vollmer Tuberculin Patch Test: Evaluation of Its Relative Sensitivity , J. Pediat. 16:171, 1940;.
Pearse, A. J.; Fried, R. I., and Glover, V. A.:  The Tuberculin Patch Test and Mantoux Intradermal Test: A Comparative Study in 700 School Children , J.A.M.A. 114:227, 1940;.
Craig, J. D., and Scheuer, L. A.:  The Vollmer Patch Test as a Routine Procedure , Arch. Pediat. 57:177, 1940;.
Goldstein, H.:  Comparative Study and Significance of the Tuberculin Patch and Mantoux Test in Children , J. Pediat. 27:245, 1945;.
Vollmer, H., and Goldberger, E. W.:  New Tuberculin Patch Test , Am. J. Dis. Child. 54:1019, 1937;.
Vollmer, H.:  Value of Tuberculin Patch Test in Case Finding , J. Pediat. 16:627, 1940;.
Dormer, B. A.; Friedlander, J.; Wiles, F. J., and Schaffer, R.:  Tuberculin Patch Test: A Comparison with Mantoux Intracutaneous Tests , Am. Rev. Tuberc. 48:324, 1943;.
Crimm, P. D.; Cookson, H. N., and Broad-bent, M.:  Patch and PPD Tests and X-Ray Correlation , Am. Rev. Tuberc. 43:799, 1941;.
Fineman, A. H., and Blair, G.:  Evaluation of Tuberculin Patch Test , Am. J. Dis. Child. 60: 631, 1940;.
Neiman, I. S.; Rosenthal, S. R., and Motel, W. G.:  Tuberculin Patch Test (Vollmer) on BCG Vaccinated and Control Children , J. Pediat. 19:540, 1941;.
Nelson, W. E.: in Brenneman's Practice of Pediatrics , Vol. 2, edited by Irvine McQuarrie, Hagerstown, Md., W. F. Prior Company, Inc., 1948;,  chap. 28 , p. 14.
Tice, F.:  Tuberculin Testing in Chicago Schools , Am. Rev. Tuberc. 43:96, 1941;.
Myers, J. A.: Tuberculosis Among Children and Adults , Ed. 3, Springfield, Ill., Charles C Thomas, Publisher, 1951;, p. 318.
Waring, J. J.:  Present Day Treatment of Pulmonary Tuberculosis , Chicago M. Soc. Bull. 55:318, 1952;.
Lichtenstein, M. R.:  Symposium on Primary Tuberculosis in Children: Criteria for Sanatorium Admission for Children with Tuberculosis , Proc. Inst. Med. Chicago 19:145, 1952;.
Myers, J. A.: Tuberculosis Among Children and Adults , Ed. 3, Springfield, Ill., Charles C Thomas, Publisher, 1951;, p. 503.
Levine, E. R.:  Can Tuberculosis Be Eradicated in School Children? , J. School Health 21:37, 1951;.
Lincoln, E. M.:  Symposium on Tuberculosis: Course and Prognosis of Tuberculosis in Children , Am. J. Med. 9:623, 1950;.
Van Leent, J. P., and Hopkins, P. F.:  Report of a Mantoux Survey of "Displaced Persons" Migrant Children , M. J. Australia 1:673, 1951;.
Smith, D. T.:  The Elimination of Tuberculosis from the Midwestern States in the Next 50 Years , Dis. Chest 26:615, 1954;.
Report on Tuberculin Testing of Suburban School Population (1953), Tuberculosis Institute of Chicago and Cook County, Nov. 4, 1954.
Sweeny, cited by Myers.

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References

Martin, D. W., and Arena, J. M.:  Relationship of Race to the Incidence of Diphtheria and to Schick, Tuberculin, and Wasserman Tests in Hospitalized Children , J. Pediat. 32:530, 1948;.
Myers, J. A.: Tuberculosis Among Children and Adults , Ed. 3, Springfield, Ill., Charles C Thomas, Publisher, 1951;, p. 148.
Hughes, J. G.:  The Vollmer Tuberculin Patch Test: Evaluation of Its Relative Sensitivity , J. Pediat. 16:171, 1940;.
Pearse, A. J.; Fried, R. I., and Glover, V. A.:  The Tuberculin Patch Test and Mantoux Intradermal Test: A Comparative Study in 700 School Children , J.A.M.A. 114:227, 1940;.
Craig, J. D., and Scheuer, L. A.:  The Vollmer Patch Test as a Routine Procedure , Arch. Pediat. 57:177, 1940;.
Goldstein, H.:  Comparative Study and Significance of the Tuberculin Patch and Mantoux Test in Children , J. Pediat. 27:245, 1945;.
Vollmer, H., and Goldberger, E. W.:  New Tuberculin Patch Test , Am. J. Dis. Child. 54:1019, 1937;.
Vollmer, H.:  Value of Tuberculin Patch Test in Case Finding , J. Pediat. 16:627, 1940;.
Dormer, B. A.; Friedlander, J.; Wiles, F. J., and Schaffer, R.:  Tuberculin Patch Test: A Comparison with Mantoux Intracutaneous Tests , Am. Rev. Tuberc. 48:324, 1943;.
Crimm, P. D.; Cookson, H. N., and Broad-bent, M.:  Patch and PPD Tests and X-Ray Correlation , Am. Rev. Tuberc. 43:799, 1941;.
Fineman, A. H., and Blair, G.:  Evaluation of Tuberculin Patch Test , Am. J. Dis. Child. 60: 631, 1940;.
Neiman, I. S.; Rosenthal, S. R., and Motel, W. G.:  Tuberculin Patch Test (Vollmer) on BCG Vaccinated and Control Children , J. Pediat. 19:540, 1941;.
Nelson, W. E.: in Brenneman's Practice of Pediatrics , Vol. 2, edited by Irvine McQuarrie, Hagerstown, Md., W. F. Prior Company, Inc., 1948;,  chap. 28 , p. 14.
Tice, F.:  Tuberculin Testing in Chicago Schools , Am. Rev. Tuberc. 43:96, 1941;.
Myers, J. A.: Tuberculosis Among Children and Adults , Ed. 3, Springfield, Ill., Charles C Thomas, Publisher, 1951;, p. 318.
Waring, J. J.:  Present Day Treatment of Pulmonary Tuberculosis , Chicago M. Soc. Bull. 55:318, 1952;.
Lichtenstein, M. R.:  Symposium on Primary Tuberculosis in Children: Criteria for Sanatorium Admission for Children with Tuberculosis , Proc. Inst. Med. Chicago 19:145, 1952;.
Myers, J. A.: Tuberculosis Among Children and Adults , Ed. 3, Springfield, Ill., Charles C Thomas, Publisher, 1951;, p. 503.
Levine, E. R.:  Can Tuberculosis Be Eradicated in School Children? , J. School Health 21:37, 1951;.
Lincoln, E. M.:  Symposium on Tuberculosis: Course and Prognosis of Tuberculosis in Children , Am. J. Med. 9:623, 1950;.
Van Leent, J. P., and Hopkins, P. F.:  Report of a Mantoux Survey of "Displaced Persons" Migrant Children , M. J. Australia 1:673, 1951;.
Smith, D. T.:  The Elimination of Tuberculosis from the Midwestern States in the Next 50 Years , Dis. Chest 26:615, 1954;.
Report on Tuberculin Testing of Suburban School Population (1953), Tuberculosis Institute of Chicago and Cook County, Nov. 4, 1954.
Sweeny, cited by Myers.

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