ABSTRACT
@#Abstract: Objective This paper aims to explore the effect of live attenuated varicella vaccine on the sensitivity of tuberculin skin test(TST), and to provide reference for tuberculin skin test in the future. Methods TST and emergency varicella vaccine were administered to students in grade one of a high school in Wuxi, Jiangsu province, who had both TB and varicella cases. Independent-samples t test was used to analyze the mean diameter of induration of TST in day 0, day 83 and day 195. The retrospective cohort study was used to analyze the effect of live attenuated varicella vaccine on TST. Results The mean induration diameter of 45 students who participated in three TST tests on day 0, day 83 and day 195 were analyzed by independent sample t test. On day 0, there was a difference in the mean diameter of TST induration between the unvaccinated and vaccinated groups(1.630±2.837 vs 5.818±4.530) (t=-3.692, P=0.001). On day 83, there was no difference in the mean diameter of TST induration between the two groups(0.001±0.001 vs 0.114±0.533) (t=-1.000, P=0.329). On day 195, there was a difference in the mean diameter of TST induration between the two groups(1.913±3.774 vs 5.023±5.126) (t=-2.309, P=0.026). Moreover, the retrospective cohort study showed that the mean diameter of TST induration changed more significantly after inoculation with varicella vaccine, RR=6.071, 95%CI (1.667-22.116), P<0.05; After inoculation with varicella vaccine, the mean diameter of TST test did not change significantly from day 0 to day 195 with no statistical significance RR=3.474, 95%CI (0.333-36.240), P>0.05. Conclusions Live attenuated varicella vaccine may temporarily affect the sensitivity of tuberculin skin test.
ABSTRACT
[Objective] To investigate the awareness rate of AIDS and STDs related knowledge, the epidemic features of high-risk behaviors and related risk factors among pregnant women in a sentinel hospital of Liangxi District of Wuxi City. [Methods]The pregnant women who built health care manual or accepted pregnancy health care from April to June in every year during 2010-2015 were investigated.[Results]Of more than 2 400 pregnant women investigated, the infection rates of HIV, syphilis, and HCV were 0.04％, 0.46％ and 0.25％. The awareness rate of knowledge was 85.79％. But, the understanding of AIDS was not scientific and comprehensive. [Conclusion]The infection rates of HIV and other STDs were observed at low levels among pregnant women in the sentinel hospital of Liangxi District. But, some still had high-risk behaviors. The mastery degree of the knowledge of AIDS prevention and control were not comprehensive. Policy advocacy, health education, voluntary consultation test and many other prevention and control strategies must extend the coverage from high risk groups to pregnant women and many other general population. Intensive education about AIDS should be carried out to help people have a correct and scientific understanding of AIDS.