Estimation of serial interval and incubation period of tuberculosis using DNA fingerprinting

OBJECTIVE: To determine the frequency distributions of serial interval and incubation period of tuberculosis within 4 years of transmission, and to identify correlates of serial intervals and incubation periods.METHODS: DNA fingerprints were obtained for all isolates from all culture-positive patien...

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Veröffentlicht in:The international journal of tuberculosis and lung disease 1999-05, Vol.3 (5), p.414-420
Hauptverfasser: TEN ASBROEK, A. H. A, BORGDORFF, M. W, NAGELKERKE, N. J. D, SEBEK, M. M. G. G, DEVILLE, W, VAN EMBDEN, J. D. A, VAN SOOLINGEN, D
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container_end_page 420
container_issue 5
container_start_page 414
container_title The international journal of tuberculosis and lung disease
container_volume 3
creator TEN ASBROEK, A. H. A
BORGDORFF, M. W
NAGELKERKE, N. J. D
SEBEK, M. M. G. G
DEVILLE, W
VAN EMBDEN, J. D. A
VAN SOOLINGEN, D
description OBJECTIVE: To determine the frequency distributions of serial interval and incubation period of tuberculosis within 4 years of transmission, and to identify correlates of serial intervals and incubation periods.METHODS: DNA fingerprints were obtained for all isolates from all culture-positive patients notified in The Netherlands from 1993 to 1996. Patient information was obtained from the National Tuberculosis Register. Results from contact investigations were provided by public health services. Source cases and secondary cases of tuberculosis were identified, based on 1) identical DNA fingerprints, and 2) epidemiological confirmation of contact. Under-representation of long intervals were corrected for by weighting cases.RESULTS: A total of 69 source-secondary case couples were identified. The geometric mean serial interval was 29.5 weeks (95% confidence interval [CI] 22.8-38.2 weeks) and the geometric mean incubation period 20.8 weeks (95% CI 15.5-27.8 weeks). Serial intervals and incubation periods tended to increase with age (P > 0.05). Three secondary cases with human immunodeficiency virus infection showed very short incubation periods (P > 0.05).CONCLUSION: Using a new methodology, the distribution of incubation periods of tuberculosis gave results consistent with earlier studies.
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Under-representation of long intervals were corrected for by weighting cases.RESULTS: A total of 69 source-secondary case couples were identified. The geometric mean serial interval was 29.5 weeks (95% confidence interval [CI] 22.8-38.2 weeks) and the geometric mean incubation period 20.8 weeks (95% CI 15.5-27.8 weeks). Serial intervals and incubation periods tended to increase with age (P &gt; 0.05). 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Results from contact investigations were provided by public health services. Source cases and secondary cases of tuberculosis were identified, based on 1) identical DNA fingerprints, and 2) epidemiological confirmation of contact. Under-representation of long intervals were corrected for by weighting cases.RESULTS: A total of 69 source-secondary case couples were identified. The geometric mean serial interval was 29.5 weeks (95% confidence interval [CI] 22.8-38.2 weeks) and the geometric mean incubation period 20.8 weeks (95% CI 15.5-27.8 weeks). Serial intervals and incubation periods tended to increase with age (P &gt; 0.05). Three secondary cases with human immunodeficiency virus infection showed very short incubation periods (P &gt; 0.05).CONCLUSION: Using a new methodology, the distribution of incubation periods of tuberculosis gave results consistent with earlier studies.</description><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS/HIV</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>DNA Fingerprinting</subject><subject>DNA fingerprints</subject><subject>Female</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Incubation Period</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Serial Interval</subject><subject>Time Factors</subject><subject>Tuberculosis</subject><subject>Tuberculosis - epidemiology</subject><subject>Tuberculosis - genetics</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>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtr3DAUhU1paNKkf6F4Uboz6Er2aLQMSZoWQtJFswtcrvUIGjzyVI9A--sr1xO6qjb3CH2cq3PeNGewhaGTirO3VTMuOyFBnTbvU9oxxgFAvmtOgQkBUsBZ83STst9T9nNoZ9cmGz1NrQ_ZxpcqKJh60WVciUN9ns0C5jLaqMs0J5_aknx4bq_vL1tXhY2HWA2qumhOHE3JfjjO8-bxy82Pq6_d3cPtt6vLu84LyXLXGydJ9kzD6JjjxhAIpZW1NOpxEL2S3GgYgBHxwRrDNr0GrkZHbHS9ZeK8-bz6HuL8s9iUce-TttNEwc4l4UbJATZ8W8GPR7CMe2uwfnRP8Re-9lGBT0eAkqbJRQrap3-cEj2wZeH3FVvihky4m0sMNSJ6jb5Qngwu5S_d44sIA_LaPdvyAWsOQGMdlSljpojPvzHBsvn6f5arn9_9dVVKIVuPeBUDUsx1Vps_gpGcnw</recordid><startdate>19990501</startdate><enddate>19990501</enddate><creator>TEN ASBROEK, A. 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H. A</creatorcontrib><creatorcontrib>BORGDORFF, M. W</creatorcontrib><creatorcontrib>NAGELKERKE, N. J. D</creatorcontrib><creatorcontrib>SEBEK, M. M. G. G</creatorcontrib><creatorcontrib>DEVILLE, W</creatorcontrib><creatorcontrib>VAN EMBDEN, J. D. A</creatorcontrib><creatorcontrib>VAN SOOLINGEN, D</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>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>TEN ASBROEK, A. H. A</au><au>BORGDORFF, M. W</au><au>NAGELKERKE, N. J. D</au><au>SEBEK, M. M. G. G</au><au>DEVILLE, W</au><au>VAN EMBDEN, J. D. 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Results from contact investigations were provided by public health services. Source cases and secondary cases of tuberculosis were identified, based on 1) identical DNA fingerprints, and 2) epidemiological confirmation of contact. Under-representation of long intervals were corrected for by weighting cases.RESULTS: A total of 69 source-secondary case couples were identified. The geometric mean serial interval was 29.5 weeks (95% confidence interval [CI] 22.8-38.2 weeks) and the geometric mean incubation period 20.8 weeks (95% CI 15.5-27.8 weeks). Serial intervals and incubation periods tended to increase with age (P &gt; 0.05). Three secondary cases with human immunodeficiency virus infection showed very short incubation periods (P &gt; 0.05).CONCLUSION: Using a new methodology, the distribution of incubation periods of tuberculosis gave results consistent with earlier studies.</abstract><cop>Paris, France</cop><pub>IUATLD</pub><pmid>10331731</pmid><tpages>7</tpages></addata></record>
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subjects Adolescent
Adult
AIDS/HIV
Bacterial diseases
Biological and medical sciences
Child
DNA Fingerprinting
DNA fingerprints
Female
Human bacterial diseases
Humans
Incubation Period
Infectious diseases
Male
Medical sciences
Middle Aged
Serial Interval
Time Factors
Tuberculosis
Tuberculosis - epidemiology
Tuberculosis - genetics
Tuberculosis - transmission
Tuberculosis and atypical mycobacterial infections
title Estimation of serial interval and incubation period of tuberculosis using DNA fingerprinting
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