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Risk factors for tuberculosis in contact investigations in Rotterdam, the Netherlands

Jesse Eduard Verdier, Sake Jan de Vlas, Inge D. Kidgell-Koppelaar, Jan Hendrik Richardus

Authors information
  • Jesse Eduard Verdier
    Department of Public Health, Erasmus MC, University Medical Center Rotterdam; Department of Infectious Disease Control Municipal Public Health Service Rotterdam-Rijnmond, Rotterdam, Netherlands. j.verdier@erasmusmc.nl
  • Sake Jan de Vlas
    Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Netherlands.
  • Inge D. Kidgell-Koppelaar
    Department of Infectious Disease Control Municipal Public Health Service Rotterdam-Rijnmond, Rotterdam, Netherlands.
  • Jan Hendrik Richardus
    Department of Public Health, Erasmus MC, University Medical Center Rotterdam; Department of Infectious Disease Control Municipal Public Health Service Rotterdam-Rijnmond, Rotterdam, Netherlands.

Abstract


Contact investigations around tuberculosis patients enable early detection of infection and disease, and prevention of secondary tuberculosis cases. We aim to identify risk factors for M. tuberculosis transmission to contacts of tuberculosis patients, based on unique data from routine contact investigations by the Public Health Service in Rotterdam, the Netherlands, collected between 2001 and 2006. Through logistic regression analysis, we determined the effect of various risk factors on the chance of finding a latent tuberculosis (TB) infection or overt tuberculosis case among contacts. A total of 1165 index patients with active tuberculosis were registered and at least one contact was investigated in 731, resulting in 21,540 contacts overall. Altogether, the contact investigations led to 91 cases of active tuberculosis. Of the 12,698 contacts eligible for screening by tuberculin skin test, 1091 (9%) were diagnosed with latent tuberculosis infections. Risk factors were old age of the contact, old age of the index patient, and the relationship to the index. A larger fraction of infected close contacts was strongly associated with infections among more distant contacts. Our findings emphasize the importance of including these personal and interpersonal risk factors in decision making in contact investigations.

Keywords


contact investigations, epidemiological risk factors, tuberculosis transmission, tuberculosis screening

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Submitted: 2011-09-01 17:44:42
Published: 2012-04-03 15:40:18
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Infectious Disease Reports [eISSN 2036-7449] is an Open Access, peer-reviewed journal published by PAGEPress, Pavia, Italy. All credits and honors to PKP for their OJS.

 

 

 

 
 
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