Prevalence of positive tuberculosis skin tests during 5 years of screening in a Swiss remand prison.
نویسندگان
چکیده
BACKGROUND Tuberculosis (TB) screening in prisons is recommended, but the appropriate methods remain controversial. Studies evaluating screening in remand prisons are scarce. METHOD Between 1997 and 2001, voluntary screening based on the tuberculin skin test (TST) was offered to all prisoners on entry into the largest remand prison in Switzerland. Prisoners with positive results underwent chest X-rays. We analysed this information collected in an anonymous database. RESULTS A total of 4890 prisoners entered the prison and were eligible for screening; 3779 (77.3%) had TST performed on average 9 days after arrival: 46.9% were positive (induration ≥ 10 mm). Positive TST rates were similar over the 5 years. Women were more likely to have a negative TST (60.4%) than men (47.7%; P < 0.001, Pearson's (2) 16.5). Positive TSTs varied according to the prisoner's country of origin (64% for sub-Saharan Africa, 57% for Eastern Europe, 56% for North Africa, 51% for Asia and 34% for North and West Europe). CONCLUSION The percentage of TST-positive subjects was high, and most did not receive preventive treatment for latent TB. The usefulness of systematic TST for all prisoners on entry is limited, as diagnosis of TB disease usually remains the priority in prisons.
منابع مشابه
QuantiFERON-TB Gold and Tuberculin Skin Test for the Diagnosis of Latent Tuberculosis Infection in Children
Background: Appropriate diagnosis and treatment of latent tuberculosis infection (LTBI) play the most important role in the control of tuberculosis. This study aimed to determine the prevalence of LTBI among healthy tuberculosis unexposed children vaccinated with BCG using the tuberculin skin test (TST) and QuantiFERON TB Gold In-Tube (QFT-GIT) and comparing the agreement between the two tests....
متن کاملPrevalence of tuberculin skin test reactions among prison workers.
OBJECTIVE To determine the prevalence of positive tuberculin skin test (TST) reactions (10 mm or greater) among full-time employees of a provincial prison for women in Montreal. METHODS Participants underwent tuberculin skin testing and completed a self-administered questionnaire. RESULTS Among 129 employees identified, 118 (91%) underwent tuberculin testing. Among 102 born in Quebec who co...
متن کاملPrevalence of infectious skin diseases in the central prison of Kerman
Background: Living in colonies and public places may cause increase in infectious diseases. Prisons are places with high-density population. Prisoners don’t persist on moral and social dictum bases and usually have low educational and cultural levels. So they are at high risk of several diseases including contagious skin diseases. Objective: As contagious skin diseases are important for social ...
متن کاملState of Affairs of Tuberculosis in Prison Facilities: A Systematic Review of Screening Practices and Recommendations for Best TB Control
BACKGROUND Prisoners are at high risk of developing tuberculosis (TB), causing morbidity and mortality. Prison facilities encounter many challenges in TB screening procedures and TB control. This review explores screening practices for detection of TB and describes limitations of TB control in prison facilities worldwide. METHODS A systematic search of online databases (e.g., PubMed and Embas...
متن کاملModeling the Impact of Tuberculosis Control Strategies in Highly Endemic Overcrowded Prisons
BACKGROUND Tuberculosis (TB) in prisons is a major health problem in countries of high and intermediate TB endemicity such as Brazil. For operational reasons, TB control strategies in prisons cannot be compared through population based intervention studies. METHODOLOGY/PRINCIPAL FINDINGS A mathematical model is proposed to simulate the TB dynamics in prison and evaluate the potential impact o...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
دوره 16 1 شماره
صفحات -
تاریخ انتشار 2012