Abstract
We encountered a contact group investigation in which differences in environmental factors, including the ventilation frequency and the airflow, led to differences in the infection risk.
The index case was diagnosed with tuberculosis after cough and sputum persisted for 9 months. The...
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PMID: 21735855
PDF is available here.
Jennifer L Gardy,
James C Johnston,
Shannan J Ho Sui,
Victoria J Cook,
Lena Shah,
Elizabeth Brodkin,
Shirley Rempel,
Richard Moore,
Yongjun Zhao,
Robert Holt,
Richard Varhol,
Inanc Birol,
Marcus Lem,
Meenu K Sharma,
Kevin Elwood,
Steven J M Jones,
Fiona S L Brinkman,
Robert C Brunham and
Patrick Tang
Abstract
We used whole-genome sequencing and social-network analysis in an effort to describe the outbreak dynamics at a higher resolution.
We sequenced the complete genomes of 32 Mycobacterium tuberculosis outbreak isolates and 4 historical isolates (from the same region but sampled before t...
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PMID: 21345102
PDF is available here.
Abstract
Pertussis is a highly infectious, vaccine-preventable respiratory illness. With the advent of a vaccine, case numbers fell in the United States from a high of 265,269 in 1934 to a low of 1,010 cases in 1976, but then resurged to 25,827 in 2004. During 2004-2008, the average was 18,161 cases per year...
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PMID: 21228761
PDF is available here.
Abstract
On March 31, 2010, the North Dakota Department of Health (NDDoH) was notified by a local public health department that a stray dog found in rural Minnesota and housed during March 9-20 in a North Dakota animal shelter had been found to have rabies. NDDoH, along with the local public health departmen...
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PMID: 21209608
PDF is available here.
Abstract
We described the outbreak investigation and control measures after the Minnesota Department of Health identified a cluster of tuberculosis (TB) cases among Guatemalan immigrants within three rural Minnesota counties in August 2008.
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PMID: 21886333
PDF is available here.
Abstract
Disease surveillance for hepatitis C in the United States is limited by the occult nature of many of these infections, the large volume of cases, and limited public health resources. Through a series of discrete processes, the Massachusetts Department of Public Health modified its su...
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PMID: 21337927
PDF is available here.
Abstract
Active pulmonary tuberculosis was diagnosed in a 4-month-old infant 16 days after hospitalization; 186 exposed individuals were traced and one conversion detected. Although the risk of tuberculosis transmission in paediatric hospitals is low, paediatricians in low-incidence countries should maintain...
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PMID: 20663261
PDF is available here.
A Carbonne,
J M Thiolet,
S Fournier,
N Fortineau,
N Kassis-Chikhani,
I Boytchev,
M Aggoune,
J C Seguier,
H Senechal,
M P Tavolacci,
B Coignard,
P Astagneau and
V Jarlier
Abstract
An outbreak of Klebsiella pneumoniae carbapenemase (KPC)-producing Klebsiella pneumoniae type 2 was detected in September 2009 in two hospitals in a suburb south of Paris, France. In total, 13 KPC-producing K. pneumoniae type 2 cases (four with infections and nine with digestive-tract colonisations)...
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PMID: 21144448
PDF is available here.
Abstract
The 2008 case presented here of tularaemia in a cat and its owner occurred in an urban setting and was associated with animal contact, a relatively rare mode of transmission in Minnesota in recent years. Response to this case exemplified a 'One Health' approach involving pre-existing...
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PMID: 20163576
PDF is available here.
Abstract
Neisseria meningitidis is a leading cause of bacterial meningitis and sepsis . The case-fatality rate for meningococcal disease is 10%--14%; survivors can experience brain damage, hearing loss, limb loss, and learning disabilities . On December 11, 2009, the California Department of Public Health (C...
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PMID: 21085089
PDF is available here.
Abstract
The objective of the study was to examine the factors associated with unidentified tuberculosis (TB) index cases (1987-2007) and to describe outbreaks (2000-2007) of childhood TB cases in Barcelona, Spain. Contact tracing seems to be fundamental in index case identification, but improvement could be...
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PMID: 20806481
PDF is available here.
Tai-Ho Chen,
Preeta Kutty,
Luis E Lowe,
Elizabeth A Hunt,
Joel Blostein,
Rita Espinoza,
Clare A Dykewicz,
Susan Redd,
Jennifer S Rota,
Paul A Rota,
James R Lute,
Perrianne Lurie,
Michael D Nguyen,
Mària Moll,
Susan E Reef,
Julie R Sinclair,
William J Bellini,
Jane F Seward and
Stephen M Ostroff
Abstract
Despite elimination of endemic measles in the United States (US), outbreaks associated with imported measles continue to occur. In 2007, the initiation of a multistate measles outbreak was associated with an imported case occurring in a participant at an international youth sporting event held in Pe...
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PMID: 20400927
PDF is available here.
Abstract
Risk factors for tuberculosis transmission from patients to contacts were found to be younger age, presence of cavitary lesion in chest X-ray findings, shedding higher number of organisms, longer duration of respiratory symptoms, longer hours of contact, and smaller space of contact environment. It...
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PMID: 20715544
PDF is available here.
Abstract
We applied the QFT-2G tests to numerous contact investigations and found that the majority of contacts who had been supposed to be infected with M. tuberculosis (Mtb) based on TST were negative in the QFT-2G tests, strongly suggesting the possibility that the unnecessary preventive chemotheraphy was...
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PMID: 20715545
PDF is available here.
Abstract
Hospital acquired infection mainly occurs at hospitals, not clinics. In Japan, QFT-G is the main tool for the diagnosis of tuberculous infection among health care workers. Contact examinations are basically done for contacts of sputum smear positive TB cases, but infection may occur at fiberbronchos...
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PMID: 20715546
PDF is available here.
Abstract
TB incidence among QFT-G-positive contacts was higher than among QFT-G-negative contacts, but the number of TB cases among QFT-G-negative contacts is non-negligible, especially among contacts of highly infectious cases....
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PMID: 20550763
PDF is available here.
Abstract
Partner notification is essential for the control of chlamydia infection, which is on the rise. The aim of this study was to assess the performance of partner notification for chlamydia infection in the genitourinary medicine clinic at the University Hospital of Hartlepool, UK from 2004 to 2008. Ove...
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PMID: 20852204
PDF is available here.
Abstract
Among the total of 84 "infected" cases thus defined, 56 were QFT-positive, 17 were doubtful, and 11 had blisters with TST. On the other hand, among the total of 515 "uninfected" cases, 18 were doubtful on the QFT test, 323 were QFT-negative and 174 were cases with TST of erythema less than 30 mm wit...
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PMID: 20662251
PDF is available here.
Abstract
We discuss the concept of the care according to the perspective of the philosophy, linking with the practice of the nurses, who appropriates themselves of this concept to substantiate their professional practice. We defend that a way to look after with ethics can be carried out when the professional...
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PMID: 20640272
PDF is available here.
Abstract
This article analyzes the performance of the professionals who accompany HIV/aids carrier in the direction to identify which its behavior is face the communication or not of the seropositivity of the patient to its sexual partner in a public service of reference in HIV/aids of the city of Fortaleza,...
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PMID: 20640278
PDF is available here.
Abstract
We compared contact tracing outcomes before and during an intervention using information resources in the form of a wallet-sized 'Make Contact' card and a website. The notification index was similar in the pre-intervention phase and the intervention phase (1.83 versus 1.91, P = 0.74), as was the tre...
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PMID: 20606225
PDF is available here.
Abstract
Increasing the frequency of testing and treatment are required to mitigate syphilis epidemics. Notifying and testing partners of infected men should occur where possible but the high rates required to reverse epidemic trends are likely to be infeasible. Contact tracing should be a secondary priority...
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PMID: 20393383
PDF is available here.
Abstract
Symptoms of urethritis in men typically include urethral discharge, penile itching or tingling, and dysuria. A diagnosis can be made if at least one of the following is present: discharge, a positive result on a leukocyte esterase test in first-void urine, or at least 10 white blood cells per high-p...
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PMID: 20353145
PDF is available here.
Abstract
The transmission of multidrug-resistant organisms (MRSA, VRE and ESBL producing bacteria) occurs predominantly if health-care workers are not compliant with hand hygiene procedures. The impact of single-room isolation in transmission prevention is often overestimated. As long as hand disinfection is...
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PMID: 20379942
PDF is available here.
Abstract
Contact investigations in high-burden populations should focus on contacts of sputum smear-positive cases in whom recent infection can be detected by ELISpot, even in the presence of HIV co-infection....
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PMID: 20388756
PDF is available here.
Abstract
To estimate the risk of tuberculosis infection among community health agents involved in disease control.
A prospective cohort was followed up from April 2007 to May 2008 in the municipality of Cachoeiro de Itapemirim, Southeastern Brazil. The cohort was composed of 61 community agents, divided betw...
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PMID: 20339633
PDF is available here.
Abstract
We present the various means used for the detection of post-transfusion hepatitis C at the Caen University Hospital. These methods have been introduced as a result of legislation or through arrangements made by the institution. They were made possible through the action of haemovigilance system, mon...
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PMID: 20674440
PDF is available here.
Abstract
Our data have shown that the long-term residence of the microfilaremic individual in the non-endemic region was not sufficient to start a new transmission focus of lymphatic filariasis in Maceió....
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PMID: 20563436
PDF is available here.
Abstract
In France, for the diagnosis of LTBI after close contact with TB, the TST is more expensive and less effective than QFT. Although it is more expensive, QFT is more effective and cost-effective than TST+QFT under a wide range of realistic test performance scenarios....
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PMID: 20202306
PDF is available here.
Abstract
Adolescent girls randomized to a community-specific video intervention at diagnosis of pelvic inflammatory disease were three times more likely to have their partners treated than those in the control group. Given the value of partner treatment in secondary prevention of sexually transmitted disease...
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PMID: 19733100
PDF is available here.
Abstract
The National Tuberculosis Indicators Project (NTIP) is a secure, web-based monitoring system that uses routinely collected surveillance data on individual tuberculosis (TB) cases to measure the performance of state and local TB control programs, help programs to prioritize improvement efforts and fo...
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PMID: 20300056
PDF is available here.
Abstract
We develop a compartmental model of a chronic, treatable infectious disease and use it to evaluate the cost and effectiveness of different levels of screening and contact tracing. We show that: (1) the optimal strategy is to get infected individuals into treatment at the maximal rate until the incre...
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PMID: 20043926
PDF is available here.
Abstract
These findings suggest that the probable cause of the outbreak was the contamination of the NGO residential center with further nosocomial transmission after admission, and highlight the importance of considering external sources when investigating hospital outbreaks....
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PMID: 19940801
PDF is available here.
Abstract
Pertussis admissions ranged from 0 to 7.4 per 10,000 hospitalizations from 1996 to 2003, and from 16.3 to 27.4 per 10,000 hospitalizations from 2004 to 2006. A total of 78% of patients were <4 months old, and 52% had a sick contact that was a family member. A total of 29% of patients required intens...
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PMID: 19949361
PDF is available here.
Abstract
We surveyed families affected by pandemic (H1N1) 2009-related school closures in Perth, Western Australia, Australia. Surveys were returned for 233 (58%) of 402 students. School closure was deemed appropriate by 110 parents (47%); however, 91 (45%) parents of 202 asymptomatic students reported takin...
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PMID: 20113548
PDF is available here.
Abstract
We investigated the emergence and evolution of drug-resistant tuberculosis (TB) in an HIV co-infected population at a South African gold mine with a well-functioning TB control program. Of 128 patients with drug-resistant TB diagnosed during January 2003-November 2005, a total of 77 had multidrug-re...
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PMID: 20113557
PDF is available here.
Abstract
From November 2000 to December 2004, respectively 339 and 311 pulmonary TB cases were enrolled and 1003 and 960 household were identified in DOTS and DOTS-A communities. Among contacts from DOTS-A communities, 26 (4%) had active TB diagnosed and treated, 429 (61.3%) had LTBI detected and 258 (60.1%)...
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PMID: 20074412
PDF is available here.
Abstract
A recent Hendra virus outbreak at a veterinary clinic in Brisbane, Queensland, Australia, involved 5 equine and 2 human infections. In contrast to previous outbreaks, infected horses had predominantly encephalitic, rather than respiratory, signs. After an incubation period of 9-16 days, influenza-li...
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PMID: 20113550
PDF is available here.
Abstract
Our model can provide modest efficiencies in allocating resources for syphilis partner notification. Health departments should consider developing tools to maximize impact of syphilis prevention and control activities....
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PMID: 19823113
PDF is available here.
Abstract
Infection control committee as the central decision-making and infection control team (ICT) for carrying out all aspects of infection control are important for hospital infection control. Standard precautions are used for all patients and apply to all body fluids except for sweat, whether or not the...
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PMID: 20077771
PDF is available here.
Abstract
We report an outbreak of hepatitis A in 2008 that occurred in Maine. Eight members of an extended family developed hepatitis A following the arrival of an asymptomatic infant from Ethiopia who was brought to the United States by an adoption agency. Two children in the family attended an elementary s...
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PMID: 20873279
PDF is available here.
Abstract
Ethnic differences in co-diagnosis of pregnancy and HIV suggest that young Hispanic women may have differential access to and acceptance of routine HIV screening. Comprehensive prenatal screening combined with partner notification can be effective in reaching infected male partners who are undiagnos...
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PMID: 20402201
PDF is available here.
Abstract
Contact tracing was used to link together the individuals involved in this outbreak in a social network, allowing the identification of the most likely paths of transmission and the risks of different types of interactions to be assessed. The outbreak highlights the substantial time and cost involve...
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PMID: 20509927
PDF is available here.
Abstract
This article reports the investigation and control measures undertaken following the identification of a toxigenic strain of Cornyebacterium diphtheriae var gravis, designated ribotype Minsk , in a partially vaccinated teenager born in the United Kingdom with no recent history of travel or known con...
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PMID: 20430002
PDF is available here.
Abstract
Seroprevalence of HTLV-I infection in patients with lymphoproliferative disorders was 0.4% higher at the HPCFP than at the HHA (6.1% versus 0.2%, P<0.001). There were no significant differences in prevalence by age, sex, or skin color. Of the 53 family members and sexual contacts studied, 8 (15.1%)...
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PMID: 20209227
PDF is available here.
Abstract
The number of newly notified childhood tuberculosis (TB) patients aged 0-14 years fell dramatically from the 1970s, and newly notified childhood TB cases in 2008 was 95, corresponding to 0.55 per 100,000. Among 95 childhood TB patients, 41 (43.2%) were aged 0-4 years, 5 (5.3%) were foreigners and 36...
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PMID: 20077863
PDF is available here.