Epidemiology of a tuberculosis outbreak in a South Carolina junior high school.
Identifieur interne : 000327 ( Main/Exploration ); précédent : 000326; suivant : 000328Epidemiology of a tuberculosis outbreak in a South Carolina junior high school.
Auteurs : J J Sacks ; E R Brenner ; D C Breeden ; H M Anders ; R L ParkerSource :
- American journal of public health [ 0090-0036 ] ; 1985.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Caroline du Sud (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Méthodes épidémiologiques (MeSH), Nourrisson (MeSH), Test tuberculinique (MeSH), Tuberculose pulmonaire (transmission), Tuberculose pulmonaire (épidémiologie), Épidémies de maladies (épidémiologie), Établissements scolaires (MeSH).
- MESH :
English descriptors
- KwdEn :
- MESH :
- geographic : South Carolina.
- epidemiology : Disease Outbreaks, Tuberculosis, Pulmonary.
- transmission : Tuberculosis, Pulmonary.
- Adolescent, Adult, Epidemiologic Methods, Female, Humans, Infant, Male, Schools, Tuberculin Test.
Abstract
A 13-year-old, female, seventh-grade student (the index patient) was found to have smear-positive, cavitary, pulmonary tuberculosis. Epidemiologic and contact investigation, involving skin testing over 900 people, revealed a 40 per cent tuberculin reactor rate for persons in the junior high school she attended compared to a 2 per cent rate for control schools. Repeat skin testing of initial non-reactors identified an additional 3 per cent of infected school children. School teachers showed a seven-fold increase in the prevalence of positive skin-test reactions following the outbreak. Tuberculin-reactor rates for seventh graders were substantially higher than for eighth graders. The more classes shared with the index patient, the higher the probability of being a reactor. Among students who shared no classes with the index patient, the highest rates of tuberculin reactions were found for those who had entered a classroom immediately after the index patient had left it. Evidence of transmission on the school bus and in the church choir was also suggested. Six secondary cases (three pulmonary) resulted from the outbreak. Identical phage types from the index and secondary patients suggest who had left school during the term proved useful in determining when transmission began. The index case was found to be a missed contact of a previously identified case of tuberculosis. Since household contacts are at high risk for developing active disease, there is a need for meticulous and complete investigation and preventive therapy for all such persons, especially children.
DOI: 10.2105/ajph.75.4.361
PubMed: 3976962
PubMed Central: PMC1646247
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Epidemiology of a tuberculosis outbreak in a South Carolina junior high school.</title><author><name sortKey="Sacks, J J" sort="Sacks, J J" uniqKey="Sacks J" first="J J" last="Sacks">J J Sacks</name></author><author><name sortKey="Brenner, E R" sort="Brenner, E R" uniqKey="Brenner E" first="E R" last="Brenner">E R Brenner</name></author><author><name sortKey="Breeden, D C" sort="Breeden, D C" uniqKey="Breeden D" first="D C" last="Breeden">D C Breeden</name></author><author><name sortKey="Anders, H M" sort="Anders, H M" uniqKey="Anders H" first="H M" last="Anders">H M Anders</name></author><author><name sortKey="Parker, R L" sort="Parker, R L" uniqKey="Parker R" first="R L" last="Parker">R L Parker</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1985">1985</date><idno type="RBID">pubmed:3976962</idno><idno type="pmid">3976962</idno><idno type="pmc">PMC1646247</idno><idno type="doi">10.2105/ajph.75.4.361</idno><idno type="wicri:Area/Main/Corpus">000330</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000330</idno><idno type="wicri:Area/Main/Curation">000327</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000327</idno><idno type="wicri:Area/Main/Exploration">000327</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Epidemiology of a tuberculosis outbreak in a South Carolina junior high school.</title><author><name sortKey="Sacks, J J" sort="Sacks, J J" uniqKey="Sacks J" first="J J" last="Sacks">J J Sacks</name></author><author><name sortKey="Brenner, E R" sort="Brenner, E R" uniqKey="Brenner E" first="E R" last="Brenner">E R Brenner</name></author><author><name sortKey="Breeden, D C" sort="Breeden, D C" uniqKey="Breeden D" first="D C" last="Breeden">D C Breeden</name></author><author><name sortKey="Anders, H M" sort="Anders, H M" uniqKey="Anders H" first="H M" last="Anders">H M Anders</name></author><author><name sortKey="Parker, R L" sort="Parker, R L" uniqKey="Parker R" first="R L" last="Parker">R L Parker</name></author></analytic><series><title level="j">American journal of public health</title><idno type="ISSN">0090-0036</idno><imprint><date when="1985" type="published">1985</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Disease Outbreaks (epidemiology)</term><term>Epidemiologic Methods (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Infant (MeSH)</term><term>Male (MeSH)</term><term>Schools (MeSH)</term><term>South Carolina (MeSH)</term><term>Tuberculin Test (MeSH)</term><term>Tuberculosis, Pulmonary (epidemiology)</term><term>Tuberculosis, Pulmonary (transmission)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Caroline du Sud (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Méthodes épidémiologiques (MeSH)</term><term>Nourrisson (MeSH)</term><term>Test tuberculinique (MeSH)</term><term>Tuberculose pulmonaire (transmission)</term><term>Tuberculose pulmonaire (épidémiologie)</term><term>Épidémies de maladies (épidémiologie)</term><term>Établissements scolaires (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>South Carolina</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Disease Outbreaks</term><term>Tuberculosis, Pulmonary</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Tuberculosis, Pulmonary</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Tuberculose pulmonaire</term><term>Épidémies de maladies</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Epidemiologic Methods</term><term>Female</term><term>Humans</term><term>Infant</term><term>Male</term><term>Schools</term><term>Tuberculin Test</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Caroline du Sud</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Méthodes épidémiologiques</term><term>Nourrisson</term><term>Test tuberculinique</term><term>Établissements scolaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 13-year-old, female, seventh-grade student (the index patient) was found to have smear-positive, cavitary, pulmonary tuberculosis. Epidemiologic and contact investigation, involving skin testing over 900 people, revealed a 40 per cent tuberculin reactor rate for persons in the junior high school she attended compared to a 2 per cent rate for control schools. Repeat skin testing of initial non-reactors identified an additional 3 per cent of infected school children. School teachers showed a seven-fold increase in the prevalence of positive skin-test reactions following the outbreak. Tuberculin-reactor rates for seventh graders were substantially higher than for eighth graders. The more classes shared with the index patient, the higher the probability of being a reactor. Among students who shared no classes with the index patient, the highest rates of tuberculin reactions were found for those who had entered a classroom immediately after the index patient had left it. Evidence of transmission on the school bus and in the church choir was also suggested. Six secondary cases (three pulmonary) resulted from the outbreak. Identical phage types from the index and secondary patients suggest who had left school during the term proved useful in determining when transmission began. The index case was found to be a missed contact of a previously identified case of tuberculosis. Since household contacts are at high risk for developing active disease, there is a need for meticulous and complete investigation and preventive therapy for all such persons, especially children.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">3976962</PMID><DateCompleted><Year>1985</Year><Month>04</Month><Day>22</Day></DateCompleted><DateRevised><Year>2019</Year><Month>05</Month><Day>14</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0090-0036</ISSN><JournalIssue CitedMedium="Print"><Volume>75</Volume><Issue>4</Issue><PubDate><Year>1985</Year><Month>Apr</Month></PubDate></JournalIssue><Title>American journal of public health</Title></Journal><ArticleTitle>Epidemiology of a tuberculosis outbreak in a South Carolina junior high school.</ArticleTitle><Pagination><MedlinePgn>361-5</MedlinePgn></Pagination><Abstract><AbstractText>A 13-year-old, female, seventh-grade student (the index patient) was found to have smear-positive, cavitary, pulmonary tuberculosis. Epidemiologic and contact investigation, involving skin testing over 900 people, revealed a 40 per cent tuberculin reactor rate for persons in the junior high school she attended compared to a 2 per cent rate for control schools. Repeat skin testing of initial non-reactors identified an additional 3 per cent of infected school children. School teachers showed a seven-fold increase in the prevalence of positive skin-test reactions following the outbreak. Tuberculin-reactor rates for seventh graders were substantially higher than for eighth graders. The more classes shared with the index patient, the higher the probability of being a reactor. Among students who shared no classes with the index patient, the highest rates of tuberculin reactions were found for those who had entered a classroom immediately after the index patient had left it. Evidence of transmission on the school bus and in the church choir was also suggested. Six secondary cases (three pulmonary) resulted from the outbreak. Identical phage types from the index and secondary patients suggest who had left school during the term proved useful in determining when transmission began. The index case was found to be a missed contact of a previously identified case of tuberculosis. Since household contacts are at high risk for developing active disease, there is a need for meticulous and complete investigation and preventive therapy for all such persons, especially children.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sacks</LastName><ForeName>J J</ForeName><Initials>JJ</Initials></Author><Author ValidYN="Y"><LastName>Brenner</LastName><ForeName>E R</ForeName><Initials>ER</Initials></Author><Author ValidYN="Y"><LastName>Breeden</LastName><ForeName>D C</ForeName><Initials>DC</Initials></Author><Author ValidYN="Y"><LastName>Anders</LastName><ForeName>H M</ForeName><Initials>HM</Initials></Author><Author ValidYN="Y"><LastName>Parker</LastName><ForeName>R L</ForeName><Initials>RL</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Public 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UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012574" MajorTopicYN="N">Schools</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013022" MajorTopicYN="N" Type="Geographic">South Carolina</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014374" MajorTopicYN="N">Tuberculin Test</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014397" MajorTopicYN="N">Tuberculosis, Pulmonary</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1985</Year><Month>4</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1985</Year><Month>4</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1985</Year><Month>4</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">3976962</ArticleId><ArticleId IdType="pmc">PMC1646247</ArticleId><ArticleId IdType="doi">10.2105/ajph.75.4.361</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>N Engl J Med. 1965 Apr 8;272:714-7</Citation><ArticleIdList><ArticleId IdType="pubmed">14261462</ArticleId></ArticleIdList></Reference><Reference><Citation>Public Health Rep. 1962 May;77:401-9</Citation><ArticleIdList><ArticleId IdType="pubmed">14493331</ArticleId></ArticleIdList></Reference><Reference><Citation>Am Rev Respir Dis. 1982 Jun;125(6):640-3</Citation><ArticleIdList><ArticleId IdType="pubmed">6807151</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Epidemiol. 1974 Feb;99(2):131-8</Citation><ArticleIdList><ArticleId 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first="D C" last="Breeden">D C Breeden</name><name sortKey="Brenner, E R" sort="Brenner, E R" uniqKey="Brenner E" first="E R" last="Brenner">E R Brenner</name><name sortKey="Parker, R L" sort="Parker, R L" uniqKey="Parker R" first="R L" last="Parker">R L Parker</name><name sortKey="Sacks, J J" sort="Sacks, J J" uniqKey="Sacks J" first="J J" last="Sacks">J J Sacks</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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