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Tuberculosis in a shopping centre, Portugal, 2004-5

dc.contributor.authorDuarte, R.
dc.contributor.authorMiranda, A.
dc.contributor.authorBraga, R.
dc.contributor.authorCarvalho, A.
dc.contributor.authorRola, J.
dc.contributor.authorMarques, A.
dc.contributor.authorBarros, H.
dc.date.accessioned2018-03-28T15:54:21Z
dc.date.available2018-03-28T15:54:21Z
dc.date.issued2008-10-16
dc.description.abstractGenotyping enables to confirm or exclude a tuberculosis (TB) cluster. Excluding the link between cases is particularly important in countries with intermediate/high incidence of TB where the emergence of several TB cases in a particular location in space or time (higher than the expected) could be explained by chance alone. During 2004 and 2005, five TB cases occurred in five shops of a Portuguese shopping centre which employed a total of about 1000 workers. After an epidemiological survey, 52 close contacts were identified and screened. Latent tuberculosis infection was diagnosed in 10 contacts (eight family members and two work colleagues of cases). Genotyping of the Mycobacterium tuberculosis isolates revealed no link between the cases. For this reason no screening of all staff of the shopping centre was carried out. However, close contacts (52) and all fellow workers (1000) were kept under surveillance for two years, and no additional cases were diagnosed. The present analysis demonstrates that the exclusion of a chain of ongoing transmission by genotyping for the investigation of a cluster is cost-effective from the perspective of the public health service, because it allows to avoid unnecessary large scale screening operation and instead to direct resources to more effective measures of TB control.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEuro Surveill. 2008 Oct 16;13(42). pii: 19004pt_PT
dc.identifier.issn1560-7917
dc.identifier.issn1560-7917
dc.identifier.urihttp://hdl.handle.net/10400.18/5485
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherEuropean Centre for Disease Prevention and Controlpt_PT
dc.relation.publisherversionhttp://www.eurosurveillance.org/content/10.2807/ese.13.42.19004-enpt_PT
dc.subjectTuberculosispt_PT
dc.subjectEpidemiologypt_PT
dc.subjectMolecular Typingpt_PT
dc.subjectInfecções Respiratóriaspt_PT
dc.titleTuberculosis in a shopping centre, Portugal, 2004-5pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue42pt_PT
oaire.citation.startPagepii: 19004pt_PT
oaire.citation.titleEurosurveillancept_PT
oaire.citation.volume13pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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