Characterising transmission of a tuberculosis genotype in Scotland: a qualitative approach to social network enquiry
SETTING: Contact investigation resulting from specimens sent to the Scottish Mycobacteria Reference Laboratory.OBJECTIVE: To characterise patients and types of exposures associated with transmission of a prevalent Mycobacterium tuberculosis genotype in Scotland.DESIGN: A combined approach using mole...
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| Veröffentlicht in: | The international journal of tuberculosis and lung disease 2009-04, Vol.13 (4), p.486-493 |
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| container_title | The international journal of tuberculosis and lung disease |
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| creator | JACKSON, A. D SEAGAR, A-L REID, M. E DOIG, C FORBES, K. J LAURENSON, I. F MCMENAMIN, J |
| description | SETTING: Contact investigation resulting from specimens sent to the Scottish Mycobacteria Reference Laboratory.OBJECTIVE: To characterise patients and types of exposures associated with transmission of a prevalent Mycobacterium tuberculosis genotype in Scotland.DESIGN:
A combined approach using molecular epidemiology and semi-structured patient interviews for social network enquiry.RESULTS: We investigated social connections between 64 patients diagnosed between 1994 and 2004. Fifty-five per cent had ≥1 identifiable contact. One third (n =
14, 32.6%) of the 43 epidemiological links detected were discerned as a result of patient interviews and were not previously recorded on surveillance reports, nor recognised by nurse specialists (all were non-household contacts). Sixteen putative sites of exposure were identified, 11 were
public houses. Rather than a single-source outbreak, eight pockets of transmission were identified, the largest involving UK-born alcohol-misusing males frequenting several public houses.CONCLUSIONS: Using a standardised approach to explore themes around which individuals may have been
exposed to TB resulted in the detection of previously unrecognised epidemiological links. Epidemiological data obtained from cluster investigations, e.g., risk and social behaviours that increase the risk of infection and sites of putative exposure, can enhance the development of more appropriate
questions for the contact tracing interview. |
| format | Article |
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A combined approach using molecular epidemiology and semi-structured patient interviews for social network enquiry.RESULTS: We investigated social connections between 64 patients diagnosed between 1994 and 2004. Fifty-five per cent had ≥1 identifiable contact. One third (n =
14, 32.6%) of the 43 epidemiological links detected were discerned as a result of patient interviews and were not previously recorded on surveillance reports, nor recognised by nurse specialists (all were non-household contacts). Sixteen putative sites of exposure were identified, 11 were
public houses. Rather than a single-source outbreak, eight pockets of transmission were identified, the largest involving UK-born alcohol-misusing males frequenting several public houses.CONCLUSIONS: Using a standardised approach to explore themes around which individuals may have been
exposed to TB resulted in the detection of previously unrecognised epidemiological links. Epidemiological data obtained from cluster investigations, e.g., risk and social behaviours that increase the risk of infection and sites of putative exposure, can enhance the development of more appropriate
questions for the contact tracing interview.</description><identifier>ISSN: 1027-3719</identifier><identifier>EISSN: 1815-7920</identifier><identifier>PMID: 19335955</identifier><language>eng</language><publisher>Paris, France: IUATLD</publisher><subject>Adolescent ; Adult ; Aged ; Bacterial diseases ; Beijing ; Biological and medical sciences ; Cluster Analysis ; Contact Tracing ; Disease Outbreaks ; Female ; Human bacterial diseases ; Humans ; Infectious diseases ; Interviews as Topic ; Male ; Medical sciences ; Middle Aged ; Molecular Epidemiology ; Mycobacterium tuberculosis ; Mycobacterium tuberculosis - genetics ; Mycobacterium tuberculosis - isolation & purification ; Network ; Pneumology ; Qualitative ; Respiratory system : syndromes and miscellaneous diseases ; Scotland - epidemiology ; Social Support ; Transmission ; Tuberculosis ; Tuberculosis - epidemiology ; Tuberculosis - transmission ; Tuberculosis and atypical mycobacterial infections</subject><ispartof>The international journal of tuberculosis and lung disease, 2009-04, Vol.13 (4), p.486-493</ispartof><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21285331$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19335955$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>JACKSON, A. D</creatorcontrib><creatorcontrib>SEAGAR, A-L</creatorcontrib><creatorcontrib>REID, M. E</creatorcontrib><creatorcontrib>DOIG, C</creatorcontrib><creatorcontrib>FORBES, K. J</creatorcontrib><creatorcontrib>LAURENSON, I. F</creatorcontrib><creatorcontrib>MCMENAMIN, J</creatorcontrib><title>Characterising transmission of a tuberculosis genotype in Scotland: a qualitative approach to social network enquiry</title><title>The international journal of tuberculosis and lung disease</title><addtitle>Int J Tuberc Lung Dis</addtitle><description>SETTING: Contact investigation resulting from specimens sent to the Scottish Mycobacteria Reference Laboratory.OBJECTIVE: To characterise patients and types of exposures associated with transmission of a prevalent Mycobacterium tuberculosis genotype in Scotland.DESIGN:
A combined approach using molecular epidemiology and semi-structured patient interviews for social network enquiry.RESULTS: We investigated social connections between 64 patients diagnosed between 1994 and 2004. Fifty-five per cent had ≥1 identifiable contact. One third (n =
14, 32.6%) of the 43 epidemiological links detected were discerned as a result of patient interviews and were not previously recorded on surveillance reports, nor recognised by nurse specialists (all were non-household contacts). Sixteen putative sites of exposure were identified, 11 were
public houses. Rather than a single-source outbreak, eight pockets of transmission were identified, the largest involving UK-born alcohol-misusing males frequenting several public houses.CONCLUSIONS: Using a standardised approach to explore themes around which individuals may have been
exposed to TB resulted in the detection of previously unrecognised epidemiological links. Epidemiological data obtained from cluster investigations, e.g., risk and social behaviours that increase the risk of infection and sites of putative exposure, can enhance the development of more appropriate
questions for the contact tracing interview.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Bacterial diseases</subject><subject>Beijing</subject><subject>Biological and medical sciences</subject><subject>Cluster Analysis</subject><subject>Contact Tracing</subject><subject>Disease Outbreaks</subject><subject>Female</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Molecular Epidemiology</subject><subject>Mycobacterium tuberculosis</subject><subject>Mycobacterium tuberculosis - genetics</subject><subject>Mycobacterium tuberculosis - isolation & purification</subject><subject>Network</subject><subject>Pneumology</subject><subject>Qualitative</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Scotland - epidemiology</subject><subject>Social Support</subject><subject>Transmission</subject><subject>Tuberculosis</subject><subject>Tuberculosis - epidemiology</subject><subject>Tuberculosis - transmission</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><issn>1027-3719</issn><issn>1815-7920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1PHDEMhkeICijwF6pcym0kJ5lsZrhVC4VKSD1Az5Enk0CW2WQ3H1T775stS6_1wbasx5bf96g5oz0VrRwYHNcemGy5pMNp8zmlFQCjlMqT5pQOnItBiLMmL18wos4muuT8M8kRfVq7lFzwJFiCJJfRRF3mkFwiz8aHvNsY4jx51CHP6KfrCm0Lzi5jdm-G4GYTA-oXkgNJQTuciTf5d4ivxPhtcXF30XyyOCdzeajnza_vt0_L-_bh592P5beH1nFOc9sNlomxZ3YcR0mhQ5j0uAANtO84Y4veLjhIIyyCELrKAcn6yUJPtWVaAD9vrt7v1oe2xaSsqjJt5vq1CSWphYRhqHv_BRl0vQS-B78cwDKuzaQ20a0x7tSHoRX4egAwaZxttVO79I9jlPWiiqvczTtXTTc-o1qFEn01Q7mCeZ6UW-0zAxgU_A3KDw10CmPeTxj_A8JclwI</recordid><startdate>20090401</startdate><enddate>20090401</enddate><creator>JACKSON, A. 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D</creatorcontrib><creatorcontrib>SEAGAR, A-L</creatorcontrib><creatorcontrib>REID, M. E</creatorcontrib><creatorcontrib>DOIG, C</creatorcontrib><creatorcontrib>FORBES, K. J</creatorcontrib><creatorcontrib>LAURENSON, I. F</creatorcontrib><creatorcontrib>MCMENAMIN, J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>The international journal of tuberculosis and lung disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>JACKSON, A. D</au><au>SEAGAR, A-L</au><au>REID, M. E</au><au>DOIG, C</au><au>FORBES, K. J</au><au>LAURENSON, I. F</au><au>MCMENAMIN, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characterising transmission of a tuberculosis genotype in Scotland: a qualitative approach to social network enquiry</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>2009-04-01</date><risdate>2009</risdate><volume>13</volume><issue>4</issue><spage>486</spage><epage>493</epage><pages>486-493</pages><issn>1027-3719</issn><eissn>1815-7920</eissn><abstract>SETTING: Contact investigation resulting from specimens sent to the Scottish Mycobacteria Reference Laboratory.OBJECTIVE: To characterise patients and types of exposures associated with transmission of a prevalent Mycobacterium tuberculosis genotype in Scotland.DESIGN:
A combined approach using molecular epidemiology and semi-structured patient interviews for social network enquiry.RESULTS: We investigated social connections between 64 patients diagnosed between 1994 and 2004. Fifty-five per cent had ≥1 identifiable contact. One third (n =
14, 32.6%) of the 43 epidemiological links detected were discerned as a result of patient interviews and were not previously recorded on surveillance reports, nor recognised by nurse specialists (all were non-household contacts). Sixteen putative sites of exposure were identified, 11 were
public houses. Rather than a single-source outbreak, eight pockets of transmission were identified, the largest involving UK-born alcohol-misusing males frequenting several public houses.CONCLUSIONS: Using a standardised approach to explore themes around which individuals may have been
exposed to TB resulted in the detection of previously unrecognised epidemiological links. Epidemiological data obtained from cluster investigations, e.g., risk and social behaviours that increase the risk of infection and sites of putative exposure, can enhance the development of more appropriate
questions for the contact tracing interview.</abstract><cop>Paris, France</cop><pub>IUATLD</pub><pmid>19335955</pmid><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 1027-3719 |
| ispartof | The international journal of tuberculosis and lung disease, 2009-04, Vol.13 (4), p.486-493 |
| issn | 1027-3719 1815-7920 |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Bacterial diseases Beijing Biological and medical sciences Cluster Analysis Contact Tracing Disease Outbreaks Female Human bacterial diseases Humans Infectious diseases Interviews as Topic Male Medical sciences Middle Aged Molecular Epidemiology Mycobacterium tuberculosis Mycobacterium tuberculosis - genetics Mycobacterium tuberculosis - isolation & purification Network Pneumology Qualitative Respiratory system : syndromes and miscellaneous diseases Scotland - epidemiology Social Support Transmission Tuberculosis Tuberculosis - epidemiology Tuberculosis - transmission Tuberculosis and atypical mycobacterial infections |
| title | Characterising transmission of a tuberculosis genotype in Scotland: a qualitative approach to social network enquiry |
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