title: Outbreak of tuberculosis in a correctional facility: consequences of missed opportunities.
abstract: In May 2006, the Department of Public Health investigated a tuberculosis (TB) outbreak at a correctional facility after two recently discharged inmates were diagnosed with TB. Based on epidemiological and genotyping data, one infectious patient was determined to be the source of infection for the other. Despite prolonged symptoms and abnormal chest radiographs, the index patient was not diagnosed while incarcerated. Among the estimated 910 exposed inmates tested, 53 (5.8%) had newly positive tuberculin skin tests (TSTs). Ten (2.1%) of 485 corrections staff tested converted their TSTs. This investigation highlights the consequences of missed TB diagnoses in prisons.
authors.affiliation: Office of Workforce and Career Development, Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. lynn.sosa@ct.gov
authors.forename: L E
authors.initials: LE
authors.lastname: Sosa
authors.forename: M N
authors.initials: MN
authors.lastname: Lobato
authors.forename: T
authors.initials: T
authors.lastname: Condren
authors.forename: M N
authors.initials: MN
authors.lastname: Williams
authors.forename: J L
authors.initials: JL
authors.lastname: Hadler
mesh_terms: D000328:Adult; D004196:Disease Outbreaks; D005845:Georgia / Q000453:epidemiology; D006801:Humans; D008297:Male; D011329:Prisoners; D011330:Prisons; D014374:Tuberculin Test; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis / Q000453:epidemiology*