Abstract
The word prophylaxis is derived from the Greek phulaxis, which means “a guarding”. Properly speaking it should be applied only when speaking of diseases where infection can be prevented. However, in tuberculosis control we use the term BCG prophylaxis, although the bacillus Calmette-Guerin cannot prevent the tubercle bacillus from settling in a non-infected host: it can only prevent the further spread of infection. The terms primary chemoprophylaxis and secondary chemoprophylaxis have therefore been introduced, the first meaning protection from infection and the second prevention of the progression of infection to disease. In the control of tuberculosis the use of drugs on non-infected persons with the aim of preventing clinical disease or the spread of infection is practised widely. The terms chemoprevention, preventive therapy and chemoprotection are sometimes used instead of secondary prophylaxis. The U.S. Committee on Therapy used the term infection prophylaxis for primary prophylaxis, and disease prophylaxis for secondary prophylaxis.
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Kleeberg, H.H. (1988). Experimental Evaluation of Chemoprophylaxis and Preventive Treatment in Animals. In: Bartmann, K. (eds) Antituberculosis Drugs. Handbook of Experimental Pharmacology, vol 84. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72873-0_3
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