Mycobacterium tuberculosis miniepidemic in a church gospel choir.
Identifieur interne : 000290 ( Main/Exploration ); précédent : 000289; suivant : 000291Mycobacterium tuberculosis miniepidemic in a church gospel choir.
Auteurs : B T Mangura [États-Unis] ; E C Napolitano ; M R Passannante ; R J Mcdonald ; L B ReichmanSource :
- Chest [ 0012-3692 ] ; 1998.
Descripteurs français
- KwdFr :
- ADN bactérien (analyse), Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Femelle (MeSH), Humains (MeSH), Microbiologie de l'air (MeSH), Mycobacterium tuberculosis (génétique), Mycobacterium tuberculosis (isolement et purification), Mâle (MeSH), New Jersey (épidémiologie), Profilage d'ADN (MeSH), Sujet âgé (MeSH), Test tuberculinique (MeSH), Transmission de maladie infectieuse (MeSH), Tuberculose pleurale (microbiologie), Tuberculose pleurale (transmission), Tuberculose pleurale (épidémiologie), Tuberculose pulmonaire (microbiologie), Tuberculose pulmonaire (transmission), Tuberculose pulmonaire (épidémiologie), Épidémies de maladies (MeSH), Études de suivi (MeSH).
- MESH :
- analyse : ADN bactérien.
- génétique : Mycobacterium tuberculosis.
- isolement et purification : Mycobacterium tuberculosis.
- microbiologie : Tuberculose pleurale, Tuberculose pulmonaire.
- épidémiologie : New Jersey, Tuberculose pleurale, Tuberculose pulmonaire.
- Adolescent, Adulte, Adulte d'âge moyen, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Microbiologie de l'air, Mâle, Profilage d'ADN, Sujet âgé, Test tuberculinique, Transmission de maladie infectieuse, Épidémies de maladies, Études de suivi.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Air Microbiology (MeSH), Child (MeSH), Child, Preschool (MeSH), DNA Fingerprinting (MeSH), DNA, Bacterial (analysis), Disease Outbreaks (MeSH), Disease Transmission, Infectious (MeSH), Female (MeSH), Follow-Up Studies (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Mycobacterium tuberculosis (genetics), Mycobacterium tuberculosis (isolation & purification), New Jersey (epidemiology), Tuberculin Test (MeSH), Tuberculosis, Pleural (epidemiology), Tuberculosis, Pleural (microbiology), Tuberculosis, Pleural (transmission), Tuberculosis, Pulmonary (epidemiology), Tuberculosis, Pulmonary (microbiology), Tuberculosis, Pulmonary (transmission).
- MESH :
- chemical , analysis : DNA, Bacterial.
- geographic , epidemiology : New Jersey.
- epidemiology : Tuberculosis, Pleural, Tuberculosis, Pulmonary.
- genetics : Mycobacterium tuberculosis.
- isolation & purification : Mycobacterium tuberculosis.
- microbiology : Tuberculosis, Pleural, Tuberculosis, Pulmonary.
- transmission : Tuberculosis, Pleural, Tuberculosis, Pulmonary.
- Adolescent, Adult, Aged, Air Microbiology, Child, Child, Preschool, DNA Fingerprinting, Disease Outbreaks, Disease Transmission, Infectious, Female, Follow-Up Studies, Humans, Male, Middle Aged, Tuberculin Test.
Abstract
BACKGROUND
Conventional contact investigation and molecular fingerprinting of Mycobacterium tuberculosis isolates in tuberculosis (TB) outbreaks have facilitated recognition as well as application of public health control activities. Singing in a choir as an activity that promotes TB transmission has been occasionally recognized. Such avocational transmission in a middle class community can occur with attendant difficulties encountered in contact investigation.
METHODS
Five cases of TB (one index case; three secondary cases; one unassociated case) were identified among members of a famous church gospel choir in Newark, NJ. DNA fingerprinting and susceptibility testing were done on all retrieved strains. Of 306 choir members who had tuberculin tests, 19% were reactors. The presumed outbreak site was investigated.
RESULTS
Four of the five patients were tenors, and one was an alto. Tenors were approximately twice as likely to be tuberculin reactors than subjects with other vocal ranges combined (relative risk, 2.04; 95% confidence interval, 1.17 to 3.56). An air ventilation outlet was directly in front of the tenor section. Some limited extra-church activity between choir members may have contributed to transmission.
CONCLUSION
Conventional contact investigation must be supplemented by newer techniques, such as DNA fingerprinting, in identifying possible outbreak transmission. Singing, location of a ventilation outlet, and exposure time may have contributed to TB transmission in this outbreak. Transmission need not only be in congregate settings among well-defined socioeconomic groups but may occur unexpectedly in middle class communities.
DOI: 10.1378/chest.113.1.234
PubMed: 9440596
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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sortKey="Mcdonald, R J" sort="Mcdonald, R J" uniqKey="Mcdonald R" first="R J" last="Mcdonald">R J Mcdonald</name></author><author><name sortKey="Reichman, L B" sort="Reichman, L B" uniqKey="Reichman L" first="L B" last="Reichman">L B Reichman</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1998">1998</date><idno type="RBID">pubmed:9440596</idno><idno type="pmid">9440596</idno><idno type="doi">10.1378/chest.113.1.234</idno><idno type="wicri:Area/Main/Corpus">000294</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000294</idno><idno type="wicri:Area/Main/Curation">000291</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000291</idno><idno type="wicri:Area/Main/Exploration">000291</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Mycobacterium tuberculosis miniepidemic in a church gospel choir.</title><author><name sortKey="Mangura, B T" sort="Mangura, B T" uniqKey="Mangura B" first="B T" last="Mangura">B T Mangura</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, New Jersey Medical School National Tuberculosis Center, Newark 07107-3001, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, New Jersey Medical School National Tuberculosis Center, Newark 07107-3001</wicri:regionArea><wicri:noRegion>Newark 07107-3001</wicri:noRegion></affiliation></author><author><name sortKey="Napolitano, E C" sort="Napolitano, E C" uniqKey="Napolitano E" first="E C" last="Napolitano">E C Napolitano</name></author><author><name sortKey="Passannante, M R" sort="Passannante, M R" uniqKey="Passannante M" first="M R" last="Passannante">M R Passannante</name></author><author><name sortKey="Mcdonald, R J" sort="Mcdonald, R J" uniqKey="Mcdonald R" first="R J" last="Mcdonald">R J Mcdonald</name></author><author><name sortKey="Reichman, L B" sort="Reichman, L B" uniqKey="Reichman L" first="L B" last="Reichman">L B Reichman</name></author></analytic><series><title level="j">Chest</title><idno type="ISSN">0012-3692</idno><imprint><date when="1998" type="published">1998</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Air Microbiology (MeSH)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>DNA Fingerprinting (MeSH)</term><term>DNA, Bacterial (analysis)</term><term>Disease Outbreaks (MeSH)</term><term>Disease Transmission, Infectious (MeSH)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Mycobacterium tuberculosis (genetics)</term><term>Mycobacterium tuberculosis (isolation & purification)</term><term>New Jersey (epidemiology)</term><term>Tuberculin Test (MeSH)</term><term>Tuberculosis, Pleural (epidemiology)</term><term>Tuberculosis, Pleural (microbiology)</term><term>Tuberculosis, Pleural (transmission)</term><term>Tuberculosis, Pulmonary (epidemiology)</term><term>Tuberculosis, Pulmonary (microbiology)</term><term>Tuberculosis, Pulmonary (transmission)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>ADN bactérien (analyse)</term><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Microbiologie de l'air (MeSH)</term><term>Mycobacterium tuberculosis (génétique)</term><term>Mycobacterium tuberculosis (isolement et purification)</term><term>Mâle (MeSH)</term><term>New Jersey (épidémiologie)</term><term>Profilage d'ADN (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Test tuberculinique (MeSH)</term><term>Transmission de maladie infectieuse (MeSH)</term><term>Tuberculose pleurale (microbiologie)</term><term>Tuberculose pleurale (transmission)</term><term>Tuberculose pleurale (épidémiologie)</term><term>Tuberculose pulmonaire (microbiologie)</term><term>Tuberculose pulmonaire (transmission)</term><term>Tuberculose pulmonaire (épidémiologie)</term><term>Épidémies de maladies (MeSH)</term><term>Études de suivi (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>DNA, Bacterial</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>New Jersey</term></keywords><keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>ADN bactérien</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Tuberculosis, Pleural</term><term>Tuberculosis, Pulmonary</term></keywords><keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Mycobacterium tuberculosis</term></keywords><keywords scheme="MESH" qualifier="génétique" xml:lang="fr"><term>Mycobacterium tuberculosis</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Mycobacterium tuberculosis</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Mycobacterium tuberculosis</term></keywords><keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Tuberculose pleurale</term><term>Tuberculose pulmonaire</term></keywords><keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Tuberculosis, Pleural</term><term>Tuberculosis, Pulmonary</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Tuberculosis, Pleural</term><term>Tuberculosis, Pulmonary</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>New Jersey</term><term>Tuberculose pleurale</term><term>Tuberculose pulmonaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Air Microbiology</term><term>Child</term><term>Child, Preschool</term><term>DNA Fingerprinting</term><term>Disease Outbreaks</term><term>Disease Transmission, Infectious</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Tuberculin Test</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Humains</term><term>Microbiologie de l'air</term><term>Mâle</term><term>Profilage d'ADN</term><term>Sujet âgé</term><term>Test tuberculinique</term><term>Transmission de maladie infectieuse</term><term>Épidémies de maladies</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Conventional contact investigation and molecular fingerprinting of Mycobacterium tuberculosis isolates in tuberculosis (TB) outbreaks have facilitated recognition as well as application of public health control activities. Singing in a choir as an activity that promotes TB transmission has been occasionally recognized. Such avocational transmission in a middle class community can occur with attendant difficulties encountered in contact investigation.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Five cases of TB (one index case; three secondary cases; one unassociated case) were identified among members of a famous church gospel choir in Newark, NJ. DNA fingerprinting and susceptibility testing were done on all retrieved strains. Of 306 choir members who had tuberculin tests, 19% were reactors. The presumed outbreak site was investigated.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Four of the five patients were tenors, and one was an alto. Tenors were approximately twice as likely to be tuberculin reactors than subjects with other vocal ranges combined (relative risk, 2.04; 95% confidence interval, 1.17 to 3.56). An air ventilation outlet was directly in front of the tenor section. Some limited extra-church activity between choir members may have contributed to transmission.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Conventional contact investigation must be supplemented by newer techniques, such as DNA fingerprinting, in identifying possible outbreak transmission. Singing, location of a ventilation outlet, and exposure time may have contributed to TB transmission in this outbreak. Transmission need not only be in congregate settings among well-defined socioeconomic groups but may occur unexpectedly in middle class communities.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">9440596</PMID><DateCompleted><Year>1998</Year><Month>02</Month><Day>09</Day></DateCompleted><DateRevised><Year>2019</Year><Month>05</Month><Day>14</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0012-3692</ISSN><JournalIssue CitedMedium="Print"><Volume>113</Volume><Issue>1</Issue><PubDate><Year>1998</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Chest</Title></Journal><ArticleTitle>Mycobacterium tuberculosis miniepidemic in a church gospel choir.</ArticleTitle><Pagination><MedlinePgn>234-7</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Conventional contact investigation and molecular fingerprinting of Mycobacterium tuberculosis isolates in tuberculosis (TB) outbreaks have facilitated recognition as well as application of public health control activities. Singing in a choir as an activity that promotes TB transmission has been occasionally recognized. Such avocational transmission in a middle class community can occur with attendant difficulties encountered in contact investigation.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Five cases of TB (one index case; three secondary cases; one unassociated case) were identified among members of a famous church gospel choir in Newark, NJ. DNA fingerprinting and susceptibility testing were done on all retrieved strains. Of 306 choir members who had tuberculin tests, 19% were reactors. The presumed outbreak site was investigated.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Four of the five patients were tenors, and one was an alto. Tenors were approximately twice as likely to be tuberculin reactors than subjects with other vocal ranges combined (relative risk, 2.04; 95% confidence interval, 1.17 to 3.56). An air ventilation outlet was directly in front of the tenor section. Some limited extra-church activity between choir members may have contributed to transmission.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Conventional contact investigation must be supplemented by newer techniques, such as DNA fingerprinting, in identifying possible outbreak transmission. Singing, location of a ventilation outlet, and exposure time may have contributed to TB transmission in this outbreak. Transmission need not only be in congregate settings among well-defined socioeconomic groups but may occur unexpectedly in middle class communities.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mangura</LastName><ForeName>B T</ForeName><Initials>BT</Initials><AffiliationInfo><Affiliation>Department of Medicine, New Jersey Medical School National Tuberculosis Center, Newark 07107-3001, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Napolitano</LastName><ForeName>E C</ForeName><Initials>EC</Initials></Author><Author ValidYN="Y"><LastName>Passannante</LastName><ForeName>M R</ForeName><Initials>MR</Initials></Author><Author ValidYN="Y"><LastName>McDonald</LastName><ForeName>R J</ForeName><Initials>RJ</Initials></Author><Author ValidYN="Y"><LastName>Reichman</LastName><ForeName>L B</ForeName><Initials>LB</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>200-93-0636</GrantID><Agency>PHS HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>K07 HL02015-05</GrantID><Acronym>HL</Acronym><Agency>NHLBI NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>U78/CCU208802-05-1</GrantID><Agency>PHS HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013487">Research Support, U.S. Gov't, P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Chest</MedlineTA><NlmUniqueID>0231335</NlmUniqueID><ISSNLinking>0012-3692</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D004269">DNA, Bacterial</NameOfSubstance></Chemical></ChemicalList><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000391" MajorTopicYN="N">Air Microbiology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016172" MajorTopicYN="N">DNA Fingerprinting</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004269" MajorTopicYN="N">DNA, Bacterial</DescriptorName><QualifierName UI="Q000032" MajorTopicYN="Y">analysis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004196" MajorTopicYN="Y">Disease Outbreaks</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018562" MajorTopicYN="N">Disease Transmission, Infectious</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009169" MajorTopicYN="N">Mycobacterium tuberculosis</DescriptorName><QualifierName UI="Q000235" MajorTopicYN="Y">genetics</QualifierName><QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009515" MajorTopicYN="N" Type="Geographic">New Jersey</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014374" MajorTopicYN="N">Tuberculin Test</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014396" MajorTopicYN="N">Tuberculosis, Pleural</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014397" MajorTopicYN="N">Tuberculosis, Pulmonary</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1998</Year><Month>1</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1998</Year><Month>1</Month><Day>24</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1998</Year><Month>1</Month><Day>24</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">9440596</ArticleId><ArticleId IdType="pii">S0012-3692(16)39577-0</ArticleId><ArticleId IdType="doi">10.1378/chest.113.1.234</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Mcdonald, R J" sort="Mcdonald, R J" uniqKey="Mcdonald R" first="R J" last="Mcdonald">R J Mcdonald</name><name sortKey="Napolitano, E C" sort="Napolitano, E C" uniqKey="Napolitano E" first="E C" last="Napolitano">E C Napolitano</name><name sortKey="Passannante, M R" sort="Passannante, M R" uniqKey="Passannante M" first="M R" last="Passannante">M R Passannante</name><name sortKey="Reichman, L B" sort="Reichman, L B" uniqKey="Reichman L" first="L B" last="Reichman">L B Reichman</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Mangura, B T" sort="Mangura, B T" uniqKey="Mangura B" first="B T" last="Mangura">B T Mangura</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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