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Mycobacterium tuberculosis Transmission in a Newborn Nursery and Maternity Ward — New York City, 2003
Evaluating young children recently exposed to airborne Mycobacterium tuberculosis is a public health priority. If infected, children aged
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| Published in: | MMWR. Morbidity and mortality weekly report 2005-12, Vol.54 (50), p.1280-1283 |
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| container_end_page | 1283 |
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| container_title | MMWR. Morbidity and mortality weekly report |
| container_volume | 54 |
| creator | Fitzpatrick, F Purswani, M Fazal, B Burrowes, A Granville, K Driver, C Clark, C Munsiff, S Ruggiero, D Ijaz, K Jereb, J Haddad, M Heyman, B Finlay, A |
| description | Evaluating young children recently exposed to airborne Mycobacterium tuberculosis is a public health priority. If infected, children aged |
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If infected, children aged <2 years are at high risk for severe tuberculosis (TB) disease (e.g., TB meningitis). In December 2003, infectious pulmonary TB disease was diagnosed in a foreign-born nurse working in the newborn nursery and maternity ward of a New York City hospital (hospital A); the nurse had declined treatment for latent TB infection (LTBI) after testing positive 11 years earlier. An investigation including medical evaluation of contacts in the nursery and maternity ward was conducted by the Bureau of TB Control (BTBC) at the New York City Department of Health and Mental Hygiene, hospital A, and CDC. This report summarizes the results of that investigation, which determined that approximately 1,500 patients had been exposed to the nurse but the majority could not be located for evaluation. Among those who were tested, four infants had positive tuberculin skin test (TST) results, likely attributable to recent transmission of M. tuberculosis. The findings emphasize the difficulty of conducting contact investigations in certain settings and the importance of effective LTBI testing and treatment programs for health-care workers (HCWs) to prevent TB disease and subsequent health-care--associated transmission.</description><identifier>ISSN: 0149-2195</identifier><identifier>EISSN: 1545-861X</identifier><identifier>PMID: 16371943</identifier><language>eng</language><publisher>United States: Centers for Disease Control and Prevention</publisher><subject>Adult ; AIDS ; Bronchoscopy ; Care and treatment ; Children & youth ; Contact Tracing ; Cross Infection - prevention & control ; Diagnosis ; Health aspects ; Health risk assessment ; Humans ; Infant, Newborn ; Infants ; Infections ; Infectious Disease Transmission, Professional-to-Patient ; Meningeal tuberculosis ; Mycobacterium tuberculosis ; Mycobacterium tuberculosis - isolation & purification ; New York City - epidemiology ; Nurseries, Hospital ; Nurses ; Obstetrics and Gynecology Department, Hospital ; Occupational health and safety ; Pulmonary tuberculosis ; Tuberculin Test ; Tuberculosis ; Tuberculosis vaccine ; Tuberculosis, Pulmonary - epidemiology ; Tuberculosis, Pulmonary - prevention & control ; Tuberculosis, Pulmonary - transmission ; Vaccination</subject><ispartof>MMWR. Morbidity and mortality weekly report, 2005-12, Vol.54 (50), p.1280-1283</ispartof><rights>COPYRIGHT 2005 U.S. Government Printing Office</rights><rights>Copyright U.S. Center for Disease Control Dec 23, 2005</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/23316541$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/203803678?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,21514,33612,33614,43733,58238,58471</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16371943$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fitzpatrick, F</creatorcontrib><creatorcontrib>Purswani, M</creatorcontrib><creatorcontrib>Fazal, B</creatorcontrib><creatorcontrib>Burrowes, A</creatorcontrib><creatorcontrib>Granville, K</creatorcontrib><creatorcontrib>Driver, C</creatorcontrib><creatorcontrib>Clark, C</creatorcontrib><creatorcontrib>Munsiff, S</creatorcontrib><creatorcontrib>Ruggiero, D</creatorcontrib><creatorcontrib>Ijaz, K</creatorcontrib><creatorcontrib>Jereb, J</creatorcontrib><creatorcontrib>Haddad, M</creatorcontrib><creatorcontrib>Heyman, B</creatorcontrib><creatorcontrib>Finlay, A</creatorcontrib><creatorcontrib>Centers for Disease Control and Prevention (CDC)</creatorcontrib><title>Mycobacterium tuberculosis Transmission in a Newborn Nursery and Maternity Ward — New York City, 2003</title><title>MMWR. Morbidity and mortality weekly report</title><addtitle>MMWR Morb Mortal Wkly Rep</addtitle><description>Evaluating young children recently exposed to airborne Mycobacterium tuberculosis is a public health priority. If infected, children aged <2 years are at high risk for severe tuberculosis (TB) disease (e.g., TB meningitis). In December 2003, infectious pulmonary TB disease was diagnosed in a foreign-born nurse working in the newborn nursery and maternity ward of a New York City hospital (hospital A); the nurse had declined treatment for latent TB infection (LTBI) after testing positive 11 years earlier. An investigation including medical evaluation of contacts in the nursery and maternity ward was conducted by the Bureau of TB Control (BTBC) at the New York City Department of Health and Mental Hygiene, hospital A, and CDC. This report summarizes the results of that investigation, which determined that approximately 1,500 patients had been exposed to the nurse but the majority could not be located for evaluation. Among those who were tested, four infants had positive tuberculin skin test (TST) results, likely attributable to recent transmission of M. tuberculosis. The findings emphasize the difficulty of conducting contact investigations in certain settings and the importance of effective LTBI testing and treatment programs for health-care workers (HCWs) to prevent TB disease and subsequent health-care--associated transmission.</description><subject>Adult</subject><subject>AIDS</subject><subject>Bronchoscopy</subject><subject>Care and treatment</subject><subject>Children & youth</subject><subject>Contact Tracing</subject><subject>Cross Infection - prevention & control</subject><subject>Diagnosis</subject><subject>Health aspects</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Infections</subject><subject>Infectious Disease Transmission, Professional-to-Patient</subject><subject>Meningeal tuberculosis</subject><subject>Mycobacterium tuberculosis</subject><subject>Mycobacterium tuberculosis - isolation & purification</subject><subject>New York City - epidemiology</subject><subject>Nurseries, Hospital</subject><subject>Nurses</subject><subject>Obstetrics and Gynecology Department, Hospital</subject><subject>Occupational health and safety</subject><subject>Pulmonary tuberculosis</subject><subject>Tuberculin Test</subject><subject>Tuberculosis</subject><subject>Tuberculosis vaccine</subject><subject>Tuberculosis, Pulmonary - 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Morbidity and mortality weekly report</jtitle><addtitle>MMWR Morb Mortal Wkly Rep</addtitle><date>2005-12-23</date><risdate>2005</risdate><volume>54</volume><issue>50</issue><spage>1280</spage><epage>1283</epage><pages>1280-1283</pages><issn>0149-2195</issn><eissn>1545-861X</eissn><abstract>Evaluating young children recently exposed to airborne Mycobacterium tuberculosis is a public health priority. If infected, children aged <2 years are at high risk for severe tuberculosis (TB) disease (e.g., TB meningitis). In December 2003, infectious pulmonary TB disease was diagnosed in a foreign-born nurse working in the newborn nursery and maternity ward of a New York City hospital (hospital A); the nurse had declined treatment for latent TB infection (LTBI) after testing positive 11 years earlier. An investigation including medical evaluation of contacts in the nursery and maternity ward was conducted by the Bureau of TB Control (BTBC) at the New York City Department of Health and Mental Hygiene, hospital A, and CDC. This report summarizes the results of that investigation, which determined that approximately 1,500 patients had been exposed to the nurse but the majority could not be located for evaluation. Among those who were tested, four infants had positive tuberculin skin test (TST) results, likely attributable to recent transmission of M. tuberculosis. The findings emphasize the difficulty of conducting contact investigations in certain settings and the importance of effective LTBI testing and treatment programs for health-care workers (HCWs) to prevent TB disease and subsequent health-care--associated transmission.</abstract><cop>United States</cop><pub>Centers for Disease Control and Prevention</pub><pmid>16371943</pmid><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 0149-2195 |
| ispartof | MMWR. Morbidity and mortality weekly report, 2005-12, Vol.54 (50), p.1280-1283 |
| issn | 0149-2195 1545-861X |
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| subjects | Adult AIDS Bronchoscopy Care and treatment Children & youth Contact Tracing Cross Infection - prevention & control Diagnosis Health aspects Health risk assessment Humans Infant, Newborn Infants Infections Infectious Disease Transmission, Professional-to-Patient Meningeal tuberculosis Mycobacterium tuberculosis Mycobacterium tuberculosis - isolation & purification New York City - epidemiology Nurseries, Hospital Nurses Obstetrics and Gynecology Department, Hospital Occupational health and safety Pulmonary tuberculosis Tuberculin Test Tuberculosis Tuberculosis vaccine Tuberculosis, Pulmonary - epidemiology Tuberculosis, Pulmonary - prevention & control Tuberculosis, Pulmonary - transmission Vaccination |
| title | Mycobacterium tuberculosis Transmission in a Newborn Nursery and Maternity Ward — New York City, 2003 |
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