[The German Society of Pneumology and Tuberculosis. Recommendations for personnel and time requirements in pneumologic studies. Bronchoscopy, thoracoscopy, lung and pleura puncture].
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Tobacco use, particularly cigarette smoking, is a major cause of preventable disease and premature death worldwide. Both smokers and nonsmokers exposed to environmental tobacco smoke are at risk. Cessation of smoking reduces risks. Although the addicting properties of nicotine can make cessation difficult, both medical interventions aimed at helping smokers quit and social policies aimed at control of cigarette smoking can have significant benefits. Physicians should play an active role in control of smoking by ensuring that counselling and pharmacological therapy must be available for the individual smoker. Physicians should also participate in the public debate regarding smoking both individually and through medical organizations. As smoking represents a threat to the public health, physicians must take a strong and active role seeking its control.
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Three facts made new guidelines for tuberkulin skin-testing in Austria necessary: the low incidence of tuberculosis, the stop of routinously performed BCG-vaccination in neonates and the increasing importance of infections with atypical mycobacterials. According to analogous guidelines in Germany, Switzerland, the USA, and other countries and related to the Austrian specifities in tuberculosis situation the authors present guidelines thought as a consensus-paper of the Austrian Societies for Lung Diseases and Tuberculosis and for Pediatrics. The most essential guideline include that tuberkulin skin testing as a screening method with multiple puncture tests cannot further be recommended, and that the Mendel-Mantoux-test is the gold standard test. Only this test is sensitive and specific enough for case-finding and for giving indication to start a preventive or curative chemotherapy. The cut-off size of reactive areas for positive Mendel-Mantoux tuberculin-reaction are presented in this paper and also the consequences what is to decide in relationship to the test result.