Investigation of Mycobacterium tuberculosis transmission aboard the U.S.S. Ronald Reagan, 2006.

Autor: Buff AM; Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, MS E-92, Atlanta, GA 30333, USA., Deshpande SJ, Harrington TA, Wofford TS, O'Hara TW, Carrigan K, Martin NJ, McDowell JC, Ijaz K, Jensen PA, Lambert LA, Moore M, Oeltmann JE
Jazyk: angličtina
Zdroj: Military medicine [Mil Med] 2008 Jun; Vol. 173 (6), pp. 588-93.
DOI: 10.7205/milmed.173.6.588
Abstrakt: Pulmonary tuberculosis (TB) was diagnosed in a sailor aboard the U.S.S. Ronald Reagan; an investigation was conducted to determine a screening strategy for 1,172 civilian passengers who were aboard during a temporary guest rider program. Sailors were screened for latent TB infection (LTBI) and TB disease. A case-control study was conducted among sailors to determine factors associated with new LTBI. No secondary TB disease was identified; 13% of close contacts had new LTBI. Factors associated with new LTBI among sailors were having been born outside the United States (adjusted odds ratio = 2.80; 95% confidence interval, 1.55--5.07) and being a carrier air wing member (adjusted odds ratio = 2.89; 95% confidence interval, 1.83--4.58). Among 38 civilian passengers berthed near the patient, 1 (3%) had LTBI. The investigation results indicated that Mycobacterium tuberculosis transmission was minimal and eliminated unnecessary TB screening for 1,134 civilians which saved public health resources.
Databáze: MEDLINE