A highly transmissible tuberculosis outbreak: the importance of bars.

Abstract:

:The transmission of tuberculosis (TB) in bars is difficult to study. The objective was to describe a large TB outbreak in a company's bar and other leisure settings. A descriptive study of a TB outbreak was carried out. Contacts were studied in the index case's workplace bar (five circles of contacts) and other recreational areas (social network of three bars in the index case's neighbourhood). Chest X-rays were recommended to contacts with positive tuberculin skin tests (TST) (⩾5 mm). The risk of latent tuberculosis infection (LTBI) was determined using an adjusted odds ratio. The dose-response relationship was determined using the chi-square test for linear trend. We studied 316 contacts at the index case's workplace and detected five new cases of TB. The prevalence of LTBI was 57·9% (183/316) and was higher in the first circle, 96·0% (24/25), and lower in the fifth, 46·5% (20/43) (P < 0·0001). Among 58 contacts in the three neighbourhood bars, two TB cases were detected and the LTBI prevalence was 51·7% (30/58). Two children of one secondary TB company patient became ill. Bars may be transmission locations for TB and, as they are popular venues for social events, should be considered as potential areas of exposure.

journal_name

Epidemiol Infect

authors

Godoy P,Alsedà M,Falguera M,Puig T,Bach P,Monrabà M,Manonelles A

doi

10.1017/S0950268817002588

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

3497-3504

issue

16

eissn

0950-2688

issn

1469-4409

pii

S0950268817002588

journal_volume

145

pub_type

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