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  1. Evaluation of transmission of Mycobacterium tuberculosis in a pediatric setting.

    Article - En anglais

    Objective 

    To determine the extent of transmission of Mycobacterium tuberculosis to pediatric patients exposed to a pediatrician with smear-and culture-positive pulmonary tuberculosis (TB).

    Methods 

    Clinic billing and hospital admission records were used to identify patients seen during the pediatrician's infectious period.

    Patients were notified of the potential exposure and were offered screening.

    Results 

    A total of 1416 pediatric patients were identified as exposed.

    Of the 606 who completed screening, 12 (2%) had a skin test result =10 mm, 2 (0.3%) had a result 5 to 9 mm, and 592 (98%) had a negative test result (0 to 4 mm).

    No active TB cases were identified.

    Of the 14 children with a skin test result =5 mm, 7 were U.S. - born and had no other risk factor for a positive skin test.

    The remaining seven had either been exposed to another person with infectious TB or were from countries with a high prevalence of TB.

    Conclusion 

    We found evidence of limited transmission of Mycobacterium tuberculosis in the outpatient pediatric setting.

    Despite extensive resource dedication, only 43% of exposed children completed screening.

    In similar situations decisions should balance the responsibility to protect children exposed to Mycobacterium tuberculosis with other public health priorities and available resources.

    Mots-clés Pascal : Mycobacterium tuberculosis, Mycobacteriaceae, Mycobacteriales, Actinomycetes, Bactérie, Transmission homme homme, Pédiatrie, Médecin, Contamination, Tuberculose, Mycobactériose, Bactériose, Infection, Analyse risque, Service hospitalier, Epidémiologie, Enfant, Homme

    Mots-clés Pascal anglais : Mycobacterium tuberculosis, Mycobacteriaceae, Mycobacteriales, Actinomycetes, Bacteria, Transmission from man to man, Pediatrics, Physician, Contamination, Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Risk analysis, Hospital ward, Epidemiology, Child, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0388204

    Code Inist : 002B30A02B. Création : 25/01/1999.