Workplace-Based Investigation of Contacts of a Patient With Highly Infectious Tuberculosis—Maryland, District of Columbia, and Virginia, 2006

Munk, Elizabeth; Maltas, Gina; Dorman, Susan E.; Johnson, Becky; Johnson, Sheridan; Taylor, Kenneth R.; Jue, Thomas; Campbell, Christine; Gossett, Linda; Mentzer, M.; Richards, Ysabelle; Walsh, Trisha; Massey, Scott; Federline, Lynn; Trimeloni, K.; Balm, E.; Dougé, Jacqueline; Miner, Mark C.; Goldsborough, C. E.; Donovan, M.; Cronin, Wendy A.; Blythe, David; Randle, V.; Baruch, Nancy G.; Jackson, Rudolph S.; Moore, Jane L.; Heirendt, Wendy; Keller, Suzanne; White, William Charles; Tipple, Margaret A.; Hardge, D.; Hinnant, J.; Mirchandani, Gita

doi:10.1001/jama.300.3.276

Cited by 2 publications

(3 citation statements)

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“…1,6,[33][34][35]96 These guidelines confirm that priorities should be assigned to contacts (high/medium/low priority) based on, first, the likelihood of infection and, second, the potential hazards to the individual contact if he or she is infected (including the characteristics of the index patient, the characteristics of the contact and the intensity, frequency and duration of exposure).…”

Section: Mohr Et Almentioning

confidence: 95%

“…50,67,96 One paper, 53 reporting a retrospective review of data from outbreaks across five states in the USA (which used a subset of data from another included study 99 ), concluded that the potential for transmission of TB in the workplace needs further recognition. The study found inconsistent and limited recording of data collected during the investigations, and differences between the locations with regard to who was selected for screening and who was used as the primary source of information.…”

Section: Location-focused Strategiesmentioning

confidence: 99%

“…Another study 70 also concluded that the workplace can be an important site of transmission. In a further investigation, 96 coworkers had initially been classified as low priority; however, a high rate of infection found in high-priority cases (39%) led to the expansion of the investigation to low-priority contacts, and 15% of these subsequently had positive TSTs. Similarly, Duarte et al 58 reported that expanding contact investigations to home and workplace visits increased the number of individuals screened and identified further patients with active and latent TB.…”

Section: Location-focused Strategiesmentioning

confidence: 99%

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Interventions to improve contact tracing for tuberculosis in specific groups and in wider populations: an evidence synthesis

Baxter

Goyder

Chambers

et al. 2017

Health Serv Deliv Res

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BackgroundThe tracing and screening of people who have had contact with an active case of tuberculosis (TB) is an important element of TB control strategies.ObjectivesThis study aimed to carry out a review of evidence regarding TB contact tracing, with a particular emphasis on research that was applicable to TB contact tracing in specific population groups in the UK.DesignAn evidence synthesis of literature of any study design on TB contact tracing in developed countries was carried out.SettingAny setting.PopulationIndividuals found to have active TB disease, and people who have come into contact with them.InterventionsContact-tracing investigations.Main outcome measuresAny outcome related to TB infection, contact investigations and/or the views of staff, people with TB disease, or their contacts.Data sourcesSearches for research published 1995 onwards were undertaken in the following databases: MEDLINE via Ovid SP, EMBASE via Ovid SP, EconLit via Ovid SP, PsycINFO via Ovid SP, Social Policy and Practice via Ovid SP, Cumulative Index to Nursing and Allied Health Literature via EBSCOhost, Science and Social Science Citation Indices via Web of Science and The Cochrane Library via Wiley Online Library.Review methodsThe study comprised a review of TB contact tracing in specific population groups and a review in wider populations. A narrative synthesis was completed and a logic model was developed from the literature.ResultsThere were 112 articles in the review: 23 related to specific populations and 89 related to wider populations. The literature was of limited quality, with much general description of investigations. We identified only two (uncontrolled) studies that could be considered evaluative. Although the limitations of the evidence should be recognised, the review suggested the following: the value of a location-based approach, working with local communities and the media, partnership working, using molecular epidemiological testing, ensuring adequate systems and addressing fear of stigma. The literature on investigations for specific populations has much concordance with that reporting findings from wider population groups. The recognised limitations of conventional investigation methods may, however, be exacerbated in specific populations.LimitationsThe English-language inclusion criterion may have limited the breadth of countries represented. A meta-analysis was not possible owing to the nature of the literature. Relevant studies may have been missed by our searches, which used terminology relating to contact tracing rather than to active case finding or screening.ConclusionsThe review identified a sizeable volume of literature relating to contact investigations. However, it is currently predominantly descriptive, with little evaluative work underpinning investigations in either specific or wider populations. Our findings are, therefore, based on limited evidence. Further research is required if robust conclusions are to be made.Future workResearch should further explore the development of measures that can be used to compare the effectiveness of different contact investigations, in studies using evaluative designs.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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Section: Mohr Et Almentioning

confidence: 95%

Section: Location-focused Strategiesmentioning

confidence: 99%

Section: Location-focused Strategiesmentioning

confidence: 99%

See 1 more Smart Citation

Interventions to improve contact tracing for tuberculosis in specific groups and in wider populations: an evidence synthesis

Baxter

Goyder

Chambers

et al. 2017

Health Serv Deliv Res

View full text Add to dashboard Cite

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Tuberculosis Contact Investigation in a Military Health Care Setting: Case Report and Evidence Review

2015

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Tuberculosis (TB) remains a global threat to the U.S. armed forces. A single individual with TB disease exerts an immediate and disruptive impact upon patients' lives, military operations, and daily functioning at military treatment facilities. Medical personnel in operational or limited-resource settings are sometimes challenged to perform a TB outbreak investigation with minimal specialized training or limited logistic assistance. This article presents a case of a patient with TB disease presenting to a large military treatment facility and outlines the current, evidence-based recommendations for performing a TB outbreak investigation.

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Workplace-Based Investigation of Contacts of a Patient With Highly Infectious Tuberculosis—Maryland, District of Columbia, and Virginia, 2006

Cited by 2 publications

References 1 publication

Interventions to improve contact tracing for tuberculosis in specific groups and in wider populations: an evidence synthesis

Interventions to improve contact tracing for tuberculosis in specific groups and in wider populations: an evidence synthesis

Tuberculosis Contact Investigation in a Military Health Care Setting: Case Report and Evidence Review

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