Tuberculosis skin testing among HIV-infected pregnant women in Miami, 1995 to 1996.
OBJECTIVE
Approximately 6000 women deliver annually at Jackson Memorial Hospital in Miami, where 2.4% of women has human immunodeficiency virus (HIV) and 60% is foreign-born. We conducted a retrospective review of prenatal records among HIV-infected women to evaluate tuberculin skin testing (TST).


METHODS
We determined how many women had TSTs placed and read, and the TST results.


RESULTS
We identified 207 HIV-infected women, 87% of such women delivering in 1995 to 1996. Most did not know their HIV status before seeking prenatal care (109, 54%) and most (176, 85%) had TSTs done. Of the women, 45 had positive TSTs, 96 had negative TSTs, and 35 were anergic. Most results were not recorded using millimeters of induration. Two women (1%) had active tuberculosis (TB) disease.


CONCLUSIONS
Overall, 21% of all HIV-infected women had positive TSTs and 1% had active TB disease. Focused TB skin testing should be part of routine prenatal care in clinics serving populations at high-risk for TB, such as those with HIV infection and the foreign-born.
Schulte
Joann M
JM
Division of Tuberculosis Elimination, Centers for Disease Control and Prevention, MS E-10, 1600 Clifton Road Northeast, Atlanta, GA, USA.
Bryan
Patricia
P
Dodds
Sally
S
Potter
Monell
M
Onorato
Ida M
IM
O'Sullivan
Mary Jo
MJ
D000293:Adolescent; D000328:Adult; D016001:Confidence Intervals; D005260:Female; D005431:Florida / Q000453:epidemiology; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008297:Male; D008403:Mass Screening; D016017:Odds Ratio; D011247:Pregnancy; D018566:Pregnancy, High-Risk; D011295:Prenatal Care / Q000379:methods; D012042:Registries; D012189:Retrospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors; D014374:Tuberculin Test / Q000706:statistics & numerical data*; D014376:Tuberculosis / Q000175:diagnosis* / Q000453:epidemiology; D014505:Urban Population