Investigation of Mycobacterium tuberculosis Transmission Aboard the U.S.S. Ronald Reagan, 2006
| Autor: | Timothy W. O'Hara, Jackie C. McDowell, Kenichi Carrigan, Swati J. Deshpande, Theresa Harrington, Lauren A. Lambert, Ann M. Buff, Nicholas J. Martin, Kashef Ijaz, Paul A. Jensen, Taylor S. Wofford, Marisa Moore, John E. Oeltmann |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male Risk medicine.medical_specialty Tuberculosis Medical Records Military medicine Mycobacterium tuberculosis Pulmonary tuberculosis Environmental health Disease Transmission Infectious medicine Humans Mass Screening Tuberculosis Pulmonary Ships Aged biology Transmission (medicine) business.industry Public health Public Health Environmental and Occupational Health General Medicine Odds ratio Middle Aged bacterial infections and mycoses biology.organism_classification medicine.disease United States Confidence interval Military Personnel Case-Control Studies business |
| Zdroj: | Military Medicine. 173:588-593 |
| ISSN: | 1930-613X 0026-4075 |
| DOI: | 10.7205/milmed.173.6.588 |
| Popis: | 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: | OpenAIRE |
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