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Cited 7 time in webofscience Cited 8 time in scopus
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Lessons learned from continued TB outbreaks in a high schoolopen access

Authors
Kim, YoungKim, Byeong KiChoi, Hong JoRyu, Sung WeonKim, Eui SookChang, Yoon SooKim, Hee JinCha, Jae HyungKim, Je HyeongShin, CholLee, Seung Heon
Issue Date
16-Nov-2017
Publisher
PUBLIC LIBRARY SCIENCE
Citation
PLOS ONE, v.12, no.11
Indexed
SCIE
SCOPUS
Journal Title
PLOS ONE
Volume
12
Number
11
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/4434
DOI
10.1371/journal.pone.0188076
ISSN
1932-6203
Abstract
We investigated the aftereffects of confirmatory QuantiFERON testing (QFT) added to a positive tuberculin skin test (TST). We reviewed the pre and post course of sequential tuberculosis (TB) outbreaks in a high school where massive 43 active TB cases had been found within one year before delayed contact investigation. And we investigated the TB development in relation to initial TST and QFT during mean follow-up of 3.9 +/- 0.9 years. After delayed contact investigation for two subsequent TB outbreaks, 925 contacts were divided into the following 3 groups: TST-(n = 632), TST+/QFT+(n = 24), TST+/QFT-(n = 258). QFT-was more prevalent than QFT + in contacts with 10mm <= TST < 15mm (158, 61.2%) compared with TST >= 15mm (100, 38.8%) among the TST + reactors (P < 0.001). Among the 258 TST+/QFT-subjects, 256 received no latent TB infection (LTBI) treatment, but 7 contacts developed TB during follow-up. Among these 7 patients, 4 had initial TST >= 15mm and 3 had 10mm <= TST < 15mm. In conclusion, the delayed contact investigation for LTBI in a high school resulted in continued TB developments. False-negative QFT performed late among the TST + reactors should not be considered criteria for LTBI treatment. Additionally, the contacts only with TST >= 15mm should be considered for LTBI treatment in congregate settings of intermediate-burden countries.
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2. Clinical Science > Department of Pulmonary, Allergy, and Critical Care Medicine > 1. Journal Articles

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Kim, Je Hyeong
Ansan Hospital (Department of Pulmonary, Allergy, and Critical Care Medicine, Ansan Hospital)
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