An outbreak of tuberculosis in a bacillus Calmette-guérin-vaccinated military population.

Abstract:

:The purpose of this study was to investigate an outbreak of tuberculosis (TB) in a bacillus Calmette-Guérin-vaccinated military population and propose an appropriate method of control. We divided 593 subjects into "close contacts" and "non-close contacts" of an index case and examined all subjects by chest X-radiography (CXR). For "close contacts," we performed several tests for patients with abnormal CXRs. "Non-close contacts" had no pulmonary infiltration and no evidence of TB. We administered tuberculin skin tests (TST) to 21 "close contacts" who had pulmonary infiltrations. Seven patients had a TST > or =18 mm, two of whom had active pulmonary TB. We administered antituberculous agents to all seven patients for 6 months. Fourteen subjects with TSTs <18 mm had no evidence of TB during the 18-month follow-up period. Among the other 178 "close contact" subjects with no infiltrations evident on the initial CXR, one patient developed TB pleuritis. We conclude that it is important to use early treatment for "close contacts" of a TB index case by performing the TST and testing for pulmonary infiltration on CXRs.

journal_name

Mil Med

journal_title

Military medicine

authors

Lin JC,Lin TY,Perng WC,Mai CS,Chen YH,Ku CH,Chang FY

doi

10.7205/milmed.173.4.388

subject

Has Abstract

pub_date

2008-04-01 00:00:00

pages

388-92

issue

4

eissn

0026-4075

issn

1930-613X

journal_volume

173

pub_type

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