title: Risk factors for intrathoracic tuberculosis in children from economic migrant populations of two Dominican Republic bateyes.
abstract: OBJECTIVE
  The objective of the current study was to identify risk factors for intrathoracic tuberculosis among children living in migrant populations in the Dominican Republic.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Dominican Republic bateyes, economic migrant communities of Haitian origin.
  
  
  METHODS
  Children 18 months to 18 years of age.
  
  
  METHODS
  Unpasteurized milk consumption.
  
  
  METHODS
  Probable or possible intrathoracic tuberculosis. Probable intrathoracic tuberculosis was defined as any child with a tuberculin skin test >or=10 mm (or >5 mm in the presence of a known immunocompromising condition or household contact with intrathoracic tuberculosis) or malnutrition in the setting of an abnormal chest radiograph with features of tuberculosis or lymph node disease. The diagnosis of "possible intrathoracic tuberculosis" was assigned if an abnormal chest radiograph had features that did not meet the definition of "probable intrathoracic tuberculosis."
  
  
  RESULTS
  Probable or possible tuberculosis was diagnosed in 83 (20.8%) of 400 children. Unpasteurized milk consumption was identified as an independent risk factor for intrathoracic tuberculosis (adjusted odds ratio, 3.2; 95% confidence interval: 1.4-7.4) even after adjusting for Bacille Calmette-Guérin vaccination, household size, tuberculosis contacts and age and under varying assumptions about children diagnosed with "possible" tuberculosis.
  
  
  CONCLUSIONS
  Our data raise the possibility that the high prevalence of tuberculosis in the Dominican Republic bateyes may be attributable to Mycobacterium bovis rather than Mycobacterium tuberculosis infection.
authors: Alliance for International Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
authors: Keri A
authors: KA
authors: Cohn
authors: Rodney
authors: R
authors: Finalle
authors: Geraldine
authors: G
authors: O'Hare
authors: Jesús M
authors: JM
authors: Feris
authors: Josefina
authors: J
authors: Fernández
authors: Samir S
authors: SS
authors: Shah
mesh_terms: D000293:Adolescent; D000818:Animals; D002417:Cattle; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D004293:Dominican Republic / Q000453:epidemiology; D054242:Emigrants and Immigrants; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008892:Milk; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D013902:Radiography, Thoracic; D012307:Risk Factors; D014374:Tuberculin Test; D014380:Tuberculosis, Bovine / Q000453:epidemiology* / Q000382:microbiology; D014397:Tuberculosis, Pulmonary / Q000453:epidemiology* / Q000382:microbiology