Prevalence of positive tuberculosis skin tests during 5 years of screening in a Swiss remand prison

Details

Serval ID
serval:BIB_7A0B2B621E2D
Type
Article: article from journal or magazin.
Collection
Publications
Title
Prevalence of positive tuberculosis skin tests during 5 years of screening in a Swiss remand prison
Journal
International Journal of Tuberculosis and Lung Disease
Author(s)
Ritter C., Elger BS
ISSN
1027-3719
ISSN-L
1027-3719
Publication state
Published
Issued date
2012
Peer-reviewed
Oui
Volume
16
Number
1
Pages
65-69
Language
english
Abstract
BACKGROUND: Tuberculosis (TB) screening in prisons is recommended, but the appropriate methods remain controversial. Studies evaluating screening in remand prisons arc scarce.
METHOD: Between 1997 and 2001, voluntary screening based on the tuberculin skin test (TST) was offered to all prisoners on entry into the largest remand prison in Switzerland. Prisoners with positive results underwent chest X-rays. We analysed this information collected in an anonymous database.
RESULTS: A total of 4890 prisoners entered the prison and were eligible for screening; 3779 (77.3%) had TST performed on average 9 days after arrival: 46.9% were positive (induration >= 10 mm). Positive TST rates were similar over the 5 years. Women were more likely to have a negative TST (60.4%) than men (47.7%; P < 0.001, Pearson's chi(2) 16.5). Positive TSTs varied according to the prisoner's country of origin (64% for sub-Saharan Africa, 57% for Eastern Europe, 56% for North Africa, 51% for Asia and 34% for North and West Europe).
CONCLUSION: The percentage of TST-positive subjects was high, and most did not receive preventive treatment for latent TB. The usefulness of systematic TST for all prisoners on entry is limited, as diagnosis of TB disease usually remains the priority in prisons.
Keywords
Keywords
prison, screening, tuberculin skin test
Web of science
Create date
09/02/2015 12:42
Last modification date
20/08/2019 15:36
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