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Journal of Tropical Pediatrics 1998 44(1):40-42; doi:10.1093/tropej/44.1.40
© 1998 by Oxford University Press
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brief-report

Diagnosis of Tuberculosis: PPD or BCG Test

Emine Sönmez*,, Cengiz Yakinci**, Murat Aladag***, Ercüment Evliyaoglu, Saim Yologlu{dagger}{dagger} and Nurhan Köksal{dagger}{dagger}{dagger}

*Departments of Infection, Faculty of Medicine, Inönü University Malatya, Turkey
**Departments of Pediatrics, Faculty of Medicine, Inönü University Malatya, Turkey
***Departments of Internal Medicine, Faculty of Medicine, Inönü University Malatya, Turkey
{dagger}{dagger}Departments of Biostatistics, Faculty of Medicine, Inönü University Malatya, Turkey
{dagger}{dagger}{dagger}Departments of Chest Diseases, Faculty of Medicine, Inönü University Malatya, Turkey

Correspondence: Emine Sonmez, Zafer mah. 14. sok., Sancak-1 Apt. Daire No: 16, Malatya, Turkey.

In recent years, several articles have been published about BCG tests in the diagnosis of tuberculosis, particularly in children. The test is reportedly more sensitive and more specific than tuberculin test (PPD). We evaluated the results of simultaneous application of PPD and BCG test in order to assess its efficacy in adults and adolescents with tuberculosis (tbc). We applied BCG test and PPD concurrently in 35 healthy controls and 41 tuberculosis cases presented to Research Hospital, Inönü University and Malatya Tuberculosis Dispensary with clinical and radiological findings. The subjects also had sputum examined for presence of acid-fast bacilli (AFB) by direct microscopy, culture on Lowenstein Jensen medium and by polymerase chain reaction (PCR).

We conclude that BCG test is more sensitive and more specific than PPD in diagnosis of tuberculosis in adults and adolescents.


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