Concha Castells Carrillo1, Sabino San José Rodríguez2, Isabel López Aranaga3, Esteban Ciruelos Ayuso3, Javier Garrós Garay4, M Soledad Jiménez Pajares5, Nerea Muniozguren Agirre2. 1. Unidad de Vigilancia Epidemiológica, Delegación Territorial de Salud de Bizkaia, Bilbao, España. Electronic address: c-castells@euskadi.eus. 2. Unidad de Vigilancia Epidemiológica, Delegación Territorial de Salud de Bizkaia, Bilbao, España. 3. Servicio de Neumología, Hospital Universitario de Cruces, Barakaldo, España. 4. Servicio de Neumología, Hospital de Santa Marina, Bilbao, España. 5. Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, España.
Abstract
OBJECTIVE: To describe the epidemiological characteristics of a large tuberculosis outbreak in the university environment and the main risk factors associated with it. METHOD: A descriptive analysis of the data collected from sick individuals and their contacts was made. For the contact tracing, the guidelines established in the Tuberculosis Programme of the Autonomous Community of the Basque Country were followed. Six of the outbreak strains were sent to the National Centre of Microbiology for molecular typing. RESULTS: The total number of cases of the outbreak was 11. The rate of tuberculosis infection in the classroom of the index case, including the sick individuals, was 88.1% (59 infected and only 8 uninfected). The diagnostic delay of the index case was 260 days, and in the other 8 symptomatic cases it ranged between 10 and 70 days. The pattern obtained by the 2genotyping techniques was identical in the 6 strains studied. CONCLUSIONS: The long diagnostic delay of the authentic index case, which was diagnosed in the contact tracing, and the poor ventilation conditions of the classroom, determined the high number of secondary cases associated with this outbreak.
OBJECTIVE: To describe the epidemiological characteristics of a large tuberculosis outbreak in the university environment and the main risk factors associated with it. METHOD: A descriptive analysis of the data collected from sick individuals and their contacts was made. For the contact tracing, the guidelines established in the Tuberculosis Programme of the Autonomous Community of the Basque Country were followed. Six of the outbreak strains were sent to the National Centre of Microbiology for molecular typing. RESULTS: The total number of cases of the outbreak was 11. The rate of tuberculosis infection in the classroom of the index case, including the sick individuals, was 88.1% (59 infected and only 8 uninfected). The diagnostic delay of the index case was 260 days, and in the other 8 symptomatic cases it ranged between 10 and 70 days. The pattern obtained by the 2genotyping techniques was identical in the 6 strains studied. CONCLUSIONS: The long diagnostic delay of the authentic index case, which was diagnosed in the contact tracing, and the poor ventilation conditions of the classroom, determined the high number of secondary cases associated with this outbreak.
Authors: Aaron C Miller; Alan T Arakkal; Scott Koeneman; Joeseph E Cavanaugh; Alicia K Gerke; Douglas B Hornick; Philip M Polgreen Journal: BMJ Open Date: 2021-02-18 Impact factor: 3.006