High prevalence and risk factors associated with latent tuberculous infection in two Colombian prisons

SETTING: Two prisons in Medellín and Itagüí, Colombia.OBJECTIVE: To determine the prevalence of tuberculin skin test (TST) positivity in prisoners and the annual risk of tuberculous infection (ARTI), to identify risk factors associated with a positive result, and to describe progression to active di...

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Veröffentlicht in:The international journal of tuberculosis and lung disease 2014-10, Vol.18 (10), p.1166-1171
Hauptverfasser: Rueda, Z. V., Arroyave, L., Marin, D., López, L., Keynan, Y., Giraldo, M. R., Pulido, H., Arbeláez, M. P.
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container_end_page 1171
container_issue 10
container_start_page 1166
container_title The international journal of tuberculosis and lung disease
container_volume 18
creator Rueda, Z. V.
Arroyave, L.
Marin, D.
López, L.
Keynan, Y.
Giraldo, M. R.
Pulido, H.
Arbeláez, M. P.
description SETTING: Two prisons in Medellín and Itagüí, Colombia.OBJECTIVE: To determine the prevalence of tuberculin skin test (TST) positivity in prisoners and the annual risk of tuberculous infection (ARTI), to identify risk factors associated with a positive result, and to describe progression to active disease.DESIGN: Cross-sectional study. Inmates were included if time of incarceration was 1 year and excluded if subjects had had previous or active tuberculosis (TB), or conditions that could hamper TST administration or interpretation.RESULTS: We screened 1014 inmates. The overall prevalence of TST positivity was 77.6%. The first TST administration resulted in 66% positivity, and the second TST an additional 11.6%. In Prison One, the ARTI was 5.09% in high TB incidence cell blocks and 2.72% in low TB incidence blocks. In Prison Two, the ARTI was 2.77%. Risk factors associated with TST positivity were history of previous incarceration and length of incarceration. Among all those included in the study, four individuals developed active pulmonary TB.CONCLUSION: Prevalence of TST positivity in prisoners and the ARTI were higher than in the general population, but differed between prisons; it is important to apply a second TST to avoid an overestimation of converters during follow-up.
doi_str_mv 10.5588/ijtld.14.0179
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V. ; Arroyave, L. ; Marin, D. ; López, L. ; Keynan, Y. ; Giraldo, M. R. ; Pulido, H. ; Arbeláez, M. P.</creator><creatorcontrib>Rueda, Z. V. ; Arroyave, L. ; Marin, D. ; López, L. ; Keynan, Y. ; Giraldo, M. R. ; Pulido, H. ; Arbeláez, M. P.</creatorcontrib><description>SETTING: Two prisons in Medellín and Itagüí, Colombia.OBJECTIVE: To determine the prevalence of tuberculin skin test (TST) positivity in prisoners and the annual risk of tuberculous infection (ARTI), to identify risk factors associated with a positive result, and to describe progression to active disease.DESIGN: Cross-sectional study. Inmates were included if time of incarceration was 1 year and excluded if subjects had had previous or active tuberculosis (TB), or conditions that could hamper TST administration or interpretation.RESULTS: We screened 1014 inmates. The overall prevalence of TST positivity was 77.6%. The first TST administration resulted in 66% positivity, and the second TST an additional 11.6%. In Prison One, the ARTI was 5.09% in high TB incidence cell blocks and 2.72% in low TB incidence blocks. In Prison Two, the ARTI was 2.77%. Risk factors associated with TST positivity were history of previous incarceration and length of incarceration. Among all those included in the study, four individuals developed active pulmonary TB.CONCLUSION: Prevalence of TST positivity in prisoners and the ARTI were higher than in the general population, but differed between prisons; it is important to apply a second TST to avoid an overestimation of converters during follow-up.</description><identifier>ISSN: 1027-3719</identifier><identifier>EISSN: 1815-7920</identifier><identifier>DOI: 10.5588/ijtld.14.0179</identifier><identifier>PMID: 25216829</identifier><language>eng</language><publisher>Paris: International Union Against Tuberculosis and Lung Disease</publisher><subject>Adolescent ; Adult ; Aged ; Bacterial diseases ; Biological and medical sciences ; Cohort Studies ; Colombia - epidemiology ; Cross-Sectional Studies ; Follow-Up Studies ; Human bacterial diseases ; Humans ; Incidence ; Infectious diseases ; Latent Tuberculosis - diagnosis ; Latent Tuberculosis - epidemiology ; Latent Tuberculous Infection ; Male ; Medical sciences ; Middle Aged ; Mycobacterium ; Pneumology ; Prevalence ; Prisoners ; Prisons ; Risk Factors ; Tuberculin Test ; Tuberculin Test - methods ; Tuberculosis and atypical mycobacterial infections ; Tuberculosis, Pulmonary - diagnosis ; Tuberculosis, Pulmonary - epidemiology ; Young Adult</subject><ispartof>The international journal of tuberculosis and lung disease, 2014-10, Vol.18 (10), p.1166-1171</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c491t-c1fda83c32c102c57361dec7d0f4f94d4e171eba8d393e37f2990dea458425f13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=28831838$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25216829$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rueda, Z. V.</creatorcontrib><creatorcontrib>Arroyave, L.</creatorcontrib><creatorcontrib>Marin, D.</creatorcontrib><creatorcontrib>López, L.</creatorcontrib><creatorcontrib>Keynan, Y.</creatorcontrib><creatorcontrib>Giraldo, M. R.</creatorcontrib><creatorcontrib>Pulido, H.</creatorcontrib><creatorcontrib>Arbeláez, M. P.</creatorcontrib><title>High prevalence and risk factors associated with latent tuberculous infection in two Colombian prisons</title><title>The international journal of tuberculosis and lung disease</title><addtitle>Int J Tuberc Lung Dis</addtitle><description>SETTING: Two prisons in Medellín and Itagüí, Colombia.OBJECTIVE: To determine the prevalence of tuberculin skin test (TST) positivity in prisoners and the annual risk of tuberculous infection (ARTI), to identify risk factors associated with a positive result, and to describe progression to active disease.DESIGN: Cross-sectional study. Inmates were included if time of incarceration was 1 year and excluded if subjects had had previous or active tuberculosis (TB), or conditions that could hamper TST administration or interpretation.RESULTS: We screened 1014 inmates. The overall prevalence of TST positivity was 77.6%. The first TST administration resulted in 66% positivity, and the second TST an additional 11.6%. In Prison One, the ARTI was 5.09% in high TB incidence cell blocks and 2.72% in low TB incidence blocks. In Prison Two, the ARTI was 2.77%. Risk factors associated with TST positivity were history of previous incarceration and length of incarceration. 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V.</creatorcontrib><creatorcontrib>Arroyave, L.</creatorcontrib><creatorcontrib>Marin, D.</creatorcontrib><creatorcontrib>López, L.</creatorcontrib><creatorcontrib>Keynan, Y.</creatorcontrib><creatorcontrib>Giraldo, M. R.</creatorcontrib><creatorcontrib>Pulido, H.</creatorcontrib><creatorcontrib>Arbeláez, M. P.</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>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>The international journal of tuberculosis and lung disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rueda, Z. V.</au><au>Arroyave, L.</au><au>Marin, D.</au><au>López, L.</au><au>Keynan, Y.</au><au>Giraldo, M. R.</au><au>Pulido, H.</au><au>Arbeláez, M. P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High prevalence and risk factors associated with latent tuberculous infection in two Colombian prisons</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>18</volume><issue>10</issue><spage>1166</spage><epage>1171</epage><pages>1166-1171</pages><issn>1027-3719</issn><eissn>1815-7920</eissn><abstract>SETTING: Two prisons in Medellín and Itagüí, Colombia.OBJECTIVE: To determine the prevalence of tuberculin skin test (TST) positivity in prisoners and the annual risk of tuberculous infection (ARTI), to identify risk factors associated with a positive result, and to describe progression to active disease.DESIGN: Cross-sectional study. Inmates were included if time of incarceration was 1 year and excluded if subjects had had previous or active tuberculosis (TB), or conditions that could hamper TST administration or interpretation.RESULTS: We screened 1014 inmates. The overall prevalence of TST positivity was 77.6%. The first TST administration resulted in 66% positivity, and the second TST an additional 11.6%. In Prison One, the ARTI was 5.09% in high TB incidence cell blocks and 2.72% in low TB incidence blocks. In Prison Two, the ARTI was 2.77%. Risk factors associated with TST positivity were history of previous incarceration and length of incarceration. Among all those included in the study, four individuals developed active pulmonary TB.CONCLUSION: Prevalence of TST positivity in prisoners and the ARTI were higher than in the general population, but differed between prisons; it is important to apply a second TST to avoid an overestimation of converters during follow-up.</abstract><cop>Paris</cop><pub>International Union Against Tuberculosis and Lung Disease</pub><pmid>25216829</pmid><doi>10.5588/ijtld.14.0179</doi><tpages>6</tpages></addata></record>
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identifier ISSN: 1027-3719
ispartof The international journal of tuberculosis and lung disease, 2014-10, Vol.18 (10), p.1166-1171
issn 1027-3719
1815-7920
language eng
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source MEDLINE; Alma/SFX Local Collection
subjects Adolescent
Adult
Aged
Bacterial diseases
Biological and medical sciences
Cohort Studies
Colombia - epidemiology
Cross-Sectional Studies
Follow-Up Studies
Human bacterial diseases
Humans
Incidence
Infectious diseases
Latent Tuberculosis - diagnosis
Latent Tuberculosis - epidemiology
Latent Tuberculous Infection
Male
Medical sciences
Middle Aged
Mycobacterium
Pneumology
Prevalence
Prisoners
Prisons
Risk Factors
Tuberculin Test
Tuberculin Test - methods
Tuberculosis and atypical mycobacterial infections
Tuberculosis, Pulmonary - diagnosis
Tuberculosis, Pulmonary - epidemiology
Young Adult
title High prevalence and risk factors associated with latent tuberculous infection in two Colombian prisons
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