https://scholars.lib.ntu.edu.tw/handle/123456789/113204
標題: | Tuberculosis Transmission in the Family | 作者: | Wang, Pair Dong Lin, Ruey S. |
公開日期: | 2000 | 起(迄)頁: | 249-251 | 來源出版物: | Journal of Infection | 摘要: | Objective: To evaluate the risk of tuberculosis (TB) transmission from family members with infectious TB to other family members, and to examine whether household contact investigations had an impact on tuberculosis patterns. Design: Under the direction of the Taipei Municipal Chronic Disease Hospital, 12 full-time public health nurses recruited the household contacts of TB patients. Chest X-ray examination was recommended for adult contacts. Child contacts received the Mantoux tuberculin skin test, and radiography was recommended if the results were positive. Setting: Family contacts of all TB index patients who attended one of 29 hospitals in Taipei, from July 1993 through June 1996. The medical records of index patients were obtained from the National Tuberculosis Registry. Results: During the study period, the families of 3903 index patients, comprising 11873 contacts, were investigated. Among these, 4595 received radiography, for a response rate of 38.7%. Of these, 284 had active pulmonary disease: 188 (66.3%) had minimal disease, 79 (27.8%) had moderately advanced disease, and only 17 (5.9%) had far advanced disease. Overall, the index patients had more advanced TB: only 1261 (32.3%) had minimal disease, while 2022 (51.8%) had moderately advanced disease and 620 (15.9%) had far advanced disease. Conclusions: These data show a relatively high risk of intrafamily TB transmission. Our findings also show that family contact investigations may help to diagnose TB in earlier stages. Such an approach should greatly reduce the number of new TB cases and speed eradication of the disease. ? 2000 The British Infection Society. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/160512 | DOI: | 10.1053/jinf.2000.0736 | SDG/關鍵字: | tuberculin; article; disease severity; disease transmission; family; high risk population; household; human; infection risk; lung tuberculosis; major clinical study; medical record; nurse; public hospital; register; staging; Taiwan; thorax radiography; tuberculin test; tuberculosis |
顯示於: | 流行病學與預防醫學研究所 |
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