Tuberculosis in a day-care center, Kentucky, 1993.
In November, 1993, a 33-month-old child in a day-care center was diagnosed with tuberculosis (TB). To identify her source of infection, close contacts, other day-care children and staff were screened by tuberculin skin test (TST). TB registry and medical/laboratory records were reviewed. The only 2 community TB cases reported in the past 3 years were investigated. Of 164 children 2 were diagnosed with TB; their TSTs were > or = 10 mm but no specimens were obtained. Six children had TSTs > or = 5 mm. Of these 4 had TST conversions between December, 1993, and March, 1994. There were no additional positive TST children in June, 1994. No TB case was identified among staff or parents. A possible epidemiologic link with the index case was found for 1 community case. No source of infection was found for the other children. Possible explanations for not finding a source are: an as yet unidentified case in the day-care center or community; or false positive TST results in children related to low community prevalence of TB infection.
Driver
C R
CR
Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Jones
J S
JS
Cavitt
L
L
Weathers
B J
BJ
Valway
S E
SE
Onorato
I M
IM
D002656:Child Day Care Centers; D002675:Child, Preschool; D018562:Disease Transmission, Infectious; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007629:Kentucky / Q000453:epidemiology; D008297:Male; D014374:Tuberculin Test; D014376:Tuberculosis / Q000175:diagnosis / Q000453:epidemiology / Q000635:transmission*