Tuberculosis screening in an aged care residential facility in a low-incidence setting

Authors

  • Nompilo Moyo Victorian Tuberculosis Program, Melbourne Health, Melbourne, Australia
  • James Trauer Victorian Tuberculosis Program, Melbourne Health, Melbourne, Australia; School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
  • Peter Trevan Victorian Tuberculosis Program, Melbourne Health, Melbourne, Australia
  • Ann-Marie Baker Victorian Tuberculosis Program, Melbourne Health, Melbourne, Australia
  • Joseph Musemburi
  • Kerry McGrath Victorian Tuberculosis Program, Melbourne Health, Melbourne, Australia
  • Aine Nolan Victorian Tuberculosis Program, Melbourne Health, Melbourne, Australia
  • Eamon McIntyre Victorian Tuberculosis Program, Melbourne Health, Melbourne, Australia
  • Jane Hulls Victorian Tuberculosis Program, Melbourne Health, Melbourne, Australia
  • Justin T Denholm Victorian Tuberculosis Program, Melbourne Health, Melbourne, Australia; Department of Microbiology and Immunology, University of Melbourne, Parkville, Australia

DOI:

https://doi.org/10.33321/cdi.2017.41.30

Keywords:

latent tuberculous infection, contact tracing, interferon-gamma release assays, tuberculin skin test

Abstract

This is a retrospective cohort study of tuberculosis contact tracing and screening in an elderly residential facility in Victoria. In the absence of specific guidelines regarding an optimal test for this population, 18 residents were tested with both tuberculin skin test (TST) and interferon-gamma release assay (IGRA), and all underwent symptom assessment and chest x-ray (CXR).

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References

Stead WW, Lofgren J, Warren E, Thomas C. Tuberculosis as an endemic and nosocomial infection among the elderly in nursing homes. New England Journal of Medicine. 1985;312(23):1483-7.

Chan‐Yeung M, Chan FH, Cheung AH, Dai DL, Chu LW, Lam WK, et al. Prevalence of tuberculous infection and active tuberculosis in old age homes in Hong Kong. Journal of the American Geriatrics Society. 2006;54(9):1334-40.

Forssman, B., Gupta, L., & Mills, K. (2006). A tuberculosis contact investigation involving two private nursing homes in inner western Sydney in 2004. New South Wales Public Health Bulletin, 17 (4), 44-47. http://researchonline.nd.edu.au/cgi/viewcontent.cgi?article=1089&context=med_article

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Goebel K, Tay E, Denholm J. Supplemental use of an interferon-gamma release assay in a state-wide tuberculosis contact tracing program in Victoria: a six-year review. Communicable Diseases Intelligence. 2015;39(2):191-6.

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Health Unit. Tuberculosis (TB) Screening in Long-Term Care and Retirement Homes; Fact sheet. 2014. Accessed on 1 April 2016. Available from: http://www.healthunit.org/infectious/tb/TB_Factsheet.pdf

Centers for Disease Control. Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings, 2005. MMWR 2005; 54 (RR-17): 27.

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Published

01/09/17

How to Cite

Moyo, Nompilo, James Trauer, Peter Trevan, Ann-Marie Baker, Joseph Musemburi, Kerry McGrath, Aine Nolan, Eamon McIntyre, Jane Hulls, and Justin T Denholm. 2017. “Tuberculosis Screening in an Aged Care Residential Facility in a Low-Incidence Setting”. Communicable Diseases Intelligence 41 (September):209-11. https://doi.org/10.33321/cdi.2017.41.30.

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