Although the pathologic changes characteristic of the primary complex of tuberculosis are fairly well understood at the present time, the indications for treatment and the methods of treatment are still subjects of controversy.
Until recent years all children who showed positive reactions to the tuberculin test, even in the absence of signs or symptoms of tuberculosis activity, were given special attention. Increased rest was advised, school classes in the open air were instituted and preventoriums were established throughout the United States. Within the past few years preventoriums and treatment in the open air for children who react positively to the tuberculin test have for the most part been discontinued, for it is now generally accepted that a positive reaction to tuberculin is by itself no indication for added care except that occasional roentgenograms should be made. It has also been recognized that a child with only a positive reaction to
LEVINE MI. PRIMARY TUBERCULOSISEFFECT OF UNRESTRICTED ACTIVITY ON PROGNOSIS. Am J Dis Child. 1944;68(6):385–389. doi:10.1001/archpedi.1944.02020120019004