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Prevention and early detection of tuberculosis

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Abstract

1,570 subjects with known TB contacts (active TB, old TB and primary infection) and individuals with no known contacts but belonging to ‘efined TB risk groups’ were screened at the Department of Tuberculosis Prevention at the La Fe Hospital in Valencia. The total infection rate was 40.13% and active TBC was diagnosed in 2.23% of the population screened. Infection and disease rates were significant in all the groups examined, showing the need for correct screening not only for active TB contacts but also for child primary infection contacts, old TB cases not previously screened and subjects with no known contacts but belonging to a ‘TB risk group’.

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References

  1. A.C.E.T. (Advisory Committee for the Elimination of Tuberculosis), C.D.C. (Center for Infections Diseases). Prevention and control of tuberculosis in facilities providing long-term care to the elderly. Recommendations of the advisory committee for elimination of tuberculosis. MMWR 1990; 39: 7–20.

    Google Scholar 

  2. Alcaide J, Altet MN, Planells I. Los contactos de alto riesgo del enfermo tuberculoso pulmonar. Arch Pediart 1981; 32: 29–35.

    Google Scholar 

  3. Alcaide J, Altet MN, Taberner JL. Seguimiento y control de los niños tuberculin positivos descubiertos en los reconocimientos médicos escolares. Gac Sanit Barc 1983; 7: 20–24.

    Google Scholar 

  4. Alcaide J, Altet MN, Taberner JL, Salleras L. La infección tuberculosa y su tendencia en los escolares de una población del extrarradio de Barcelona. Rev San Hig Publ 1993; 67: 227–236.

    Google Scholar 

  5. A.T.S. (American Thoracic Society). Control of Tuberculosis. Am Rev Respir Dis 1983: 128: 356–363.

    Google Scholar 

  6. A.T.S. Niveles de los servicios de laboratorios para las enfermedades por mycobacterias (Engl.). Am Rev Respir Dis 1983; 128: 213.

    Google Scholar 

  7. A.T.S. Supplement of future research in tuberculosis. Prospects and priorities. Am Rev Respir Dis 1986; 134:401–423.

    Google Scholar 

  8. Ayuntamiento de Valencia. Prevalencia de Infectión tuberculosa en primero de E.G.B. de la ciudad de Valencia durante el curso escolar 1988–1989. Documento en Offset, 1990.

  9. Aziz A. Infection risk of sputum positive tuberculosis patients to their family contacts with and without chemotherapy. JPMA 1985; 35: 249–252.

    Google Scholar 

  10. Belio C, Sayalero T. Estudio de contactos de pacientes diagnosticados de tuberculosis pulmonar. VI Congreso Nacional de la Sociedad Espanola de Medicina Preventiva Hospitalaria. Merida, Mayo 1991; Libro de Comunicaciones, 129.

  11. Bobchenuk AP. Improving ambulatory services for children in the foci of tuberculosis with special reference to the factors of increased risk of infection. Probl Tuberk 1991; 8: 23–25]

    Google Scholar 

  12. C.D.C. (Center for Infections Diseases). Tuberculosis, United States, first 39 weeks, 1985. MMWR 1985; 34: 625–627.

    Google Scholar 

  13. C.D.C. Tuberculosis Morbidity — United States, 1992. MMWR 1993; 42: 363.

    Google Scholar 

  14. C.D.C. Tuberculosis — Western Europe, 1974–1991. MMWR 1993; 42: 628–631.

    Google Scholar 

  15. C.D.C. Tuberculosis Morbidity — United States, 1992. MMWR 1993; 42: 696–704.

    Google Scholar 

  16. C.D.C. Estimates of future global Tuberculosis Morbidity and Mortality. MMWR 1993; 42: 961–964.

    Google Scholar 

  17. Calvo R, Perez B, Lizan M, Asensio A. Prevalencia de la prueba de tuberculina positiva en contactos de pacientes tuberculosos (1986–1990). VI Congreso Nacional de la Sociedad Espanõla de Higiene y Medicina Preventiva Hospitalaria. Mérida, Mayo 1991, Libro do Comunicaciones, 150.

  18. Casanova C. Infección tuberculosa en Sagunto: indicadores de infection y estudio de los contactos de los niños tuberculin positivos. Gaceta Sanitaria 1989; 3: 502–506.

    Google Scholar 

  19. Conselleria de Sanitat i Consum de Valencia. Enfermedades de Declaración Obligatoria en la Comunidad Valenciana. Documento en Offset, 1991.

  20. Conselleria de Sanitat i Consum de Valencia. Obtención de indices de infection tuberculosa en la Comunidad Valenciana. Documento en Offse, 1992.

  21. De March P. Repercusión de un caso de Tuberculosis activa sobre una comunidad cerrada de estudiantes. Med Clin 1990; 95: 438.

    Google Scholar 

  22. Dolz FM, Gonzalez F, Garijo EJ. Control de 2100 contactos fntimos de enfermos con tuberculosis pulmonar activa. An Med Int 1988; 5: 10–11.

    Google Scholar 

  23. Dolz FM, Alfonso JL, Hortoneda M, Calvo D. Importancia del estudio de los contactos con enfermos baciliferos. Arch Bronconeumol 1991; 27: 54–55.

    Google Scholar 

  24. Esmonde TF, Petheran IS. Audit of tuberculosis contact tracing procedures in South Gwent. Respir Med 1991; 85: 421–424.

    Google Scholar 

  25. Grupo de Trabajo sobre Tuberculosis. Fondo de investigación Sanitaria (FIS). Ministerio de Sanidad y Consumo, Madrid. Consenso Nacional para el Control de la Tuberculosis en España. Med Clin 1992; 98: 24–31.

    Google Scholar 

  26. Hussain SF, Watura R, Cashman B. Audit of a tuberculosis contact tracing clinic. Br Med J 1992; 304: 1213–1215.

    Google Scholar 

  27. Iseman MD. Containment of tuberculosis. Preventive therapy with INH and contact investigation. Chest 1979; 76: 801–804.

    Google Scholar 

  28. Jereb JA, Kelly GD, Dooley SW Jr. Tuberculosis morbidity in the United States: Final data 1990. MMWR 1991; 40: 23–27.

    Google Scholar 

  29. Kobashi Y, Kimura M, Nakamura J. Four cases of simultaneous discovery of familial tuberculous infection (Japanese). Kekkaku 1990; 65: 585–590.

    Google Scholar 

  30. Kunovskii BV, Koval AM. The examination for pulmonary tuberculosis of membres of de families of newborn infants (Russian). Feldsher-Akush 1990; 55: 59–60.

    Google Scholar 

  31. Loudon RG, Williamson J, Johnson JM. An analysis of 3845 tuberculosis contacts in the city of Edinburgh during 1954–1955. Am Rev Tuberc 1958; 77: 623.

    Google Scholar 

  32. Martin-Ramos A. Prioridades en el estudio de contactos del enfermo tuberculoso y su aportación al control de la tuberculosis. Arch Bronconeumol 1988; 24: 13–14.

    Google Scholar 

  33. Martinez-Martinez ML, Ruiz J, Roig J. esEstudio de contactos en pacientes con tuberculosis. Arch Bronconeumol 1987; 23: 24.

    Google Scholar 

  34. Martinez MA, Pantoja C, Ussetti P. Rentabilidad del estudio de contactos de enfermos con tuberculosis activa. Ann Med Int número extraordinario Mayo 1991; 21.

  35. Mehta JB. Isoniazid preventive therapy for tuberculosis. Are we losing our enthusiasm?. Chest 1988; 94: 138–141.

    Google Scholar 

  36. Miravidles M, Vidal R, Juan A, De Garcia X. Estudio de contactos en la tuberculosis: Análisis de la infección. Arch Bronconeumol 1991; 27: 45.

    Google Scholar 

  37. Mlika N, Larouzé B. La Tuberculose à l'heure du Sida. Rev Epidém et Santé Publ 1991; 41: 505–515.

    Google Scholar 

  38. Morales MM, Llopis A, Ballester ML. AIDS and Tuberculosis. Eur J Epidemiol 1993; 9: 176–182.

    Google Scholar 

  39. Narain JP, Raviglione MC, Kochi A. HIV-associated tuberculosis in developing countries: Epidemiology and strategies for prevention. Tuber Lung Dis 1992; 3: 311–321.

    Google Scholar 

  40. Navarro R, Perez JA, Prats J. Control de contactos familiares de enfermos con tuberculosis pulmonar activa. Ar Med Interna 1988; 5: 11.

    Google Scholar 

  41. Peloquin CA. Infecciones por micobacterias. Pharmacotherapy 1993; 13: 634–639.

    Google Scholar 

  42. Perez-Contreras J, Cueto A, Rodriguez R. Estudio epidemiológico de la tuberculosis en la provincia de Granada. Rev Clin Esp 1984; 172: 165–169.

    Google Scholar 

  43. Pons MaC, Mitjans L, Vanaclocha H. Estudi de la prevalencia de la infecció tuberculosa en escolars de 6 anys de la Comunitat Valenciana. Butlleti Epidemiológic de la Generalitat Valenciana 1991; Suplement núm. 3.

  44. Raviglione MC, Sudre P, Rieder H, et al. Secular trends of tuberculosis in Western Europe. Bull World Health Organ 1993; 71: 297–306.

    Google Scholar 

  45. Rose CE, Zerbe GD, Lantz SD. Establishing priority during investigation of tuberculosis contacts. Am Rev Resp Dis 1979; 119: 603–609.

    Google Scholar 

  46. Ruiz Manzano J, Parra O, Roig J. Detección temprana de la tuberculosis mediante el estudio de contactos. Med Clin 1989; 92: 561–566.

    Google Scholar 

  47. Salinas C, España J, Perez-Izquierdo J. Programa integral del control de la tuberculosis en una comarca de Bizkaia. Arch Bronconeumol 1991; 27: 43.

    Google Scholar 

  48. Santos JM, Escalera C, Sanz R. Encuesta tuberculinica de una cohorte de escolares de Torreblanca (Sevilla). Atenc Prim 1987; 4: 26–30.

    Google Scholar 

  49. Styblo K. The impact of HIV infection of the global epidemiology of tuberculosis. Bull Int Union Tuberc Lung Dis 1991; 66: 27–32.

    Google Scholar 

  50. Sudre P, Ten Dam G, Kochi A. Tuberculosis: A global overview of the situation today. Bull World Health Organization 1992; 70: 149–159.

    Google Scholar 

  51. Valis V, Gonzalez R, Cuadros JA. Efectividad de un programa de prevención de la tuberculosis en exposiciones familiares. Ann Med Int número extraordinario. Mayo 1991; 44.

  52. Van Genus HA. Resultats de l'examen des sujets en contact avec des malades tuberculeux à Rotterdam, 1967–1969. Bull Un Int Tuberc 1975; 50: 105–121.

    Google Scholar 

  53. Vazquez SM, Cerdeira S, Sande M. Prevalencia de infección por mycobacteria tuberculosis en con vivientes de pacientes con tuberculosis pulmonar activa. VI Congreso Nacional de la Sociedad Española de Higiene y Medicina Preventiva Hospitalaria. Mérida, Mayo 1991, Libro de Comunicaciones 1991; 150.

  54. WHO. Tuberculosis control and research strategies for the 1990s: Memorandum from a WHO meeting. Bull World Health Organization 1992; 70: 17–21.

    Google Scholar 

  55. WHO. Lutte antituberculcuse es estratégies de echerche pour les années 90: Memorandum d'une reunion de TOMS. Bulletin de l'organisation mondiales de la Sande 1992; 70: 191–196.

    Google Scholar 

  56. WHO. Secular trends of tuberculosis in Western Europe. Bull World Health Organization 1993; 71: 297–306.

    Google Scholar 

  57. Yad MI. Observations of de examination of contacts of tuberculosis patients; A 15 years study (1953–1967). Bull Int Union Tuberc 1974; 49: 261.

    Google Scholar 

  58. Zaki M, Hauppauge NY, Lyons HA. Tuberculin sensitivity of contacts of tuberculous in New York City. Am Rev Respir Dis 1974; 109: 697.

    Google Scholar 

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Authors and Affiliations

  1. Universidad de Valencia, Departamento de Medicina, Preventiva y Salud Publica, Av. Blasco Ibañez 17, 46010, Valencia, Spain

    M. Hortoneda, C. Saiz, J. I. Alfonso, P. Cortina, J. I. Gonzalez & A. Sabater

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  1. M. Hortoneda
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  2. C. Saiz
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  3. J. I. Alfonso
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  4. P. Cortina
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  5. J. I. Gonzalez
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  6. A. Sabater
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Hortoneda, M., Saiz, C., Alfonso, J.I. et al. Prevention and early detection of tuberculosis. Eur J Epidemiol 12, 413–419 (1996). https://doi.org/10.1007/BF00145307

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