Transmission of Mycobacterium tuberculosis to a Funeral Director During Routine Embalming

Lauzardo, Michael; Lee, Phil; Duncan, Heather; Hale, Yvonne M.

doi:10.1378/chest.119.2.640

Cited by 19 publications

(9 citation statements)

References 10 publications

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“…8,9 In this investigation, RFLP and spoligotype results between patients matched exactly, and MIRU-VNTR results matched exactly at all but 1 locus. Genetic heterogeneity of M tuberculosis because of microevolution events within a single host has been documented, 10 and patient B likely was infected with clonal variants of an M tuberculosis strain.…”

Section: Discussionsupporting

confidence: 56%

Confirming Mycobacterium tuberculosis transmission from a cadaver to an embalmer using molecular epidemiology

Anderson

Meissner

Ahuja

et al. 2015

American Journal of Infection Control

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Section: Discussionsupporting

confidence: 56%

Confirming Mycobacterium tuberculosis transmission from a cadaver to an embalmer using molecular epidemiology

Anderson

Meissner

Ahuja

et al. 2015

American Journal of Infection Control

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“…In patients with mediastinal or hilar lymphadenopathy due to tuberculosis, in individuals infected with HIV who have low numbers of circulating CD4 T-cells, and in patients with pleural effusions concealing the lung parenchyma, sputum cultures may yield M. tuberculosis even when the lung parenchyma on chest radiography appears normal [37]. Anecdotal case reports point to the possibility of aerosolproducing procedures among cases with extrapulmonary tuberculosis resulting in transmission [38][39][40][41]. Isolated extrapulmonary tuberculosis does not warrant contact investigations, but any patient with extrapulmonary tuberculosis requires radiological and bacteriological examinations to exclude concomitant pulmonary disease.…”

Section: Likelihood and Risk Of Transmissionmentioning

confidence: 99%

Tuberculosis contact investigation in low prevalence countries: a European consensus

Erkens

Kamphorst²,

Abubakar

et al. 2010

European Respiratory Journal

239

201

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Contact investigation to identify individuals with tuberculosis and latent infection with Mycobacterium tuberculosis is an important component of tuberculosis control in low tuberculosis incidence countries. This document provides evidence-based and best-practice policy recommendations for contact tracing among high-and medium-priority contacts in a variety of settings. It provides a basis for national guidelines on contact investigation and tuberculosis outbreak management, and should support countries and tuberculosis control managers in evaluating and revising national policies. A review of existing guidelines, a literature search, several meetings and consultation with experts were used to formulate and grade recommendations for action during contact investigation.Available tests to identify individuals with latent infection with M. tuberculosis are designed to identify immune response against mycobacterial antigens and have variable predictive value for the likelihood to develop active tuberculosis in different populations. Contact investigation should therefore be limited to situations with a clear likelihood of transmission or to those with a higher probability of developing active tuberculosis, for instance, young children and immunocompromised persons. A risk assessment-based approach is recommended, where the need to screen contacts is prioritised on the basis of the infectiousness of the index case, intensity of exposure and susceptibility of contacts.

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“…Patomorfologów dotyczy najwyższy wśród różnych medycznych specjalizacji (dobrze udokumentowany) wskaźnik zachorowań na gruźlicę, co wiąże się z narażeniem występującym podczas sekcji zwłok (2,9,10). Zgodnie z wynikami badań Burtona częściej na gruźlicę chorowali patomorfolodzy (10%) uczestniczący w sekcji zwłok niż lekarze interniści i podstawowej opieki zdrowotnej (1%) oraz specjaliści chorób płuc -pulmonolodzy i ftyzjatrzy (4%) (9).…”

Section: Według Danych Instytutu Gruźlicy I Chorób Płuc 430unclassified

Pulmonary Tuberculosis of Occupational Origin in a Funeral Director: A Case Report

Witkowska¹,

Wiszniewska²,

Krakowiak³

et al. 2014

Med Pr

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StreszczenieW Polsce współczynnik zapadalności na gruźlicę jest wyższy niż średnia dla krajów Unii Europejskiej, Norwegii czy Islandii, natomiast gruźlica pochodzenia zawodowego jest w naszym kraju rzadko rozpoznawana. W pracy zaprezentowano pierwszy w Polsce przypadek rozpoznanej gruźlicy płuc pochodzenia zawodowego u pracownika domu pogrzebowego. Rozpoznanie etiologii zawodowej omawianej choroby stwarzało wiele problemów diagnostycznych i stało się możliwe po wnikliwej analizie historii choroby pacjenta i dostępnego piśmiennictwa. Pozwoliło to na wykazanie związku między zakażeniem a wykonywaną pracą. Uznano, że przenoszenie ciała i zajmowanie się zwłokami podczas przeprowadzania ich toalety pośmiertnej może powodować wydalenie zalegającego w płucach powietrza resztkowego i generować potencjalnie zakaźne aerozole. Mimo częstego występo-wania gruźlicy w populacji ogólnej nadal sporadycznie rozpoznawane są przypadki zawodowe tej choroby, szczególnie wśród pracowników domów pogrzebowych. Med. Pr. 2014;65(3):429-435 Słowa kluczowe: gruźlica zawodowa, pracownik domu pogrzebowego, drogi transmisji zakażenia, profilaktyka, choroba zawodowa, zakażenie zawodowe AbstractIn Poland the incidence rate of tuberculosis is higher than the average for countries of the European Union, Norway or Iceland. On the other hand, occupational tuberculosis is still rarely recognized in our country. In this paper we present the first in Poland-to our best knowledge -case of pulmonary manifestation of this disease acquired at work in a funeral director. The recognition of the occupational etiology of the discussed illness gave rise to an array of diagnostic problems and became feasible after a thorough analysis of the patient's history and literature data, which allowed finding the relationship between infection and performed job. We speculated that the transfer of the dead body and handling of cadavers may expel residual air from the lungs of the deceased. Although tuberculosis occurs frequently in the general population, the recognition of work-related cases of this disease is still rare, especially among funeral directors. Med Pr 2014;65(3):429-435

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Transmission of Mycobacterium tuberculosis to a Funeral Director During Routine Embalming

Cited by 19 publications

References 10 publications

Confirming Mycobacterium tuberculosis transmission from a cadaver to an embalmer using molecular epidemiology

Confirming Mycobacterium tuberculosis transmission from a cadaver to an embalmer using molecular epidemiology

Tuberculosis contact investigation in low prevalence countries: a European consensus

Pulmonary Tuberculosis of Occupational Origin in a Funeral Director: A Case Report

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