title: [Risk of Mycobacterium tuberculosis infection in Jalisco, Mexico].
abstract: Using a modified cluster sample design, skin tests with two TU PPD were performed on 4,083 first-grade children (mean age 6,7 years) in the state of Jalisco, Mexico, to estimate the annual risk of infection from Mycobacterium tuberculosis. The proportion of PPD reactions (a diameter of 10 mm or more of induration) was 7.6% in the Guadalajara metropolitan area and 5.5% in the rest of Jalisco. In the total sample, the proportion was 7.4% among children with scars attributed to BCG vaccine and 4.5% in children without BCG scars. The weighted proportion of children with PPD reactions of 10 mm or more was 6.8% statewide. The average annual risk of infection estimated from the group that had not received BCG vaccine was 0.82%. The results suggest that the incidence of smear-positive pulmonary tuberculosis is almost 10 times greater than the number of cases registered annually in Jalisco.
authors.affiliation: Universidad de Washington, Escuela de Salud Pública y Medicina Comunitaria, Departamento de Servicios de Salud, Seattle 98195.
authors.forename: S
authors.initials: S
authors.lastname: Gloyd
authors.forename: J L
authors.initials: JL
authors.lastname: López
authors.forename: F J
authors.initials: FJ
authors.lastname: Mercado
authors.forename: J
authors.initials: J
authors.lastname: Durning
mesh_terms: D001500:BCG Vaccine; D002648:Child; D006801:Humans; D015994:Incidence; D008800:Mexico / Q000453:epidemiology; D012306:Risk; D014374:Tuberculin Test; D014376:Tuberculosis / Q000453:epidemiology* / Q000517:prevention & control
chemical_list: D001500:BCG Vaccine
vernacular_title: Riesgo de infección por Mycobacterium tuberculosis en Jalisco, México.