1887
Rapid communication Open Access
Like 0

Abstract

Italy is a low-incidence country for tuberculosis (TB). We describe a TB outbreak in a primary school in north-eastern Italy, involving 10 cases of active pulmonary disease and 42 cases of latent infection. The index case was detected in March 2019, while the primary case, an Italian-born schoolteacher, was likely infectious since January 2018. Administration of a pre-employment health questionnaire to school staff with sustained contact with children should be considered in low-incidence countries.

Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2019.24.24.1900332
2019-06-13
2024-03-29
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2019.24.24.1900332
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/24/24/eurosurv-24-24-1.html?itemId=/content/10.2807/1560-7917.ES.2019.24.24.1900332&mimeType=html&fmt=ahah

References

  1. World Health Organization (WHO). Towards TB elimination in low-incidence countries. Geneva: WHO. [Accessed: 2019 April 23]. Available from: http://www.who.int/tb/areas-of-work/treatment/elimination/en/
  2. WHO Regional Office for Europe (WHO/Europe)/European Centre for Disease Prevention and Control (ECDC). Tuberculosis surveillance and monitoring in Europe, 2019 – 2017 data. Copenhagen: WHO/Euro; 2019. [Accessed: 2019 April 23]. Available from: https://ecdc.europa.eu/en/publications-data/tuberculosis-surveillance-and-monitoring-europe-2019
  3. Faccini M, Codecasa LR, Ciconali G, Cammarata S, Borriello CR, De Gioia C, et al. Tuberculosis outbreak in a primary school, Milan, Italy. Emerg Infect Dis. 2013;19(3):485-7.  https://doi.org/10.3201/eid1902.120527  PMID: 23621942 
  4. Filia A, Ciarrocchi G, Belfiglio R, Caferri M, Bella A, Piersimoni C, et al. Tuberculosis in kindergarten and primary school, Italy, 2008-2009. Emerg Infect Dis. 2011;17(3):514-6.  https://doi.org/10.3201/eid1703.101440  PMID: 21392447 
  5. Luzzati R, Migliori GB, Zignol M, Cirillo DM, Maschio M, Tominz R, et al. Children under 5 years are at risk for tuberculosis after occasional contact with highly contagious patients: outbreak from a smear-positive healthcare worker. Eur Respir J. 2017;50(5):1701414.  https://doi.org/10.1183/13993003.01414-2017  PMID: 29097434 
  6. Borgia P, Cambieri A, Chini F, Coltella L, Delogu G, Di Rosa E, et al. Suspected transmission of tuberculosis in a maternity ward from a smear-positive nurse: preliminary results of clinical evaluations and testing of neonates potentially exposed, Rome, Italy, 1 January to 28 July 2011. Euro Surveill. 2011;16(40):19984.  https://doi.org/10.2807/ese.16.40.19984-en  PMID: 21996378 
  7. Faccini M, Cantoni S, Ciconali G, Filipponi MT, Mainardi G, Marino AF, et al. Tuberculosis-related stigma leading to an incomplete contact investigation in a low-incidence country. Epidemiol Infect. 2015;143(13):2841-8.  https://doi.org/10.1017/S095026881400394X  PMID: 25600903 
  8. European Centre for Disease Prevention and Control (ECDC). Investigation and control of tuberculosis incidents affecting children in congregate settings. Stockholm: ECDC; 2013. Available from: https://ecdc.europa.eu/sites/portal/files/media/en/publications/Publications/guidance-investigation-control-tb-incidents-children-in-congregate-settings.pdf
  9. Ministero della Salute. Aggiornamento delle raccomandazioni per le attività di controllo della tubercolosi - anno 2010. [Updated recommendations for tuberculosis control - 2010]. Rome: Ministero della Salute; 2010. [Accessed: 24 Apr 2019]. Italian. Available from: http://www.salute.gov.it/portale/documentazione/p6_2_2_1.jsp?lingua=italiano&id=1661
  10. Wang S-H, Hunt WG, Powell DA. Lessons learned from two school tuberculosis investigations. J Immigr Minor Health. 2010;12(6):853-8.  https://doi.org/10.1007/s10903-008-9220-9  PMID: 19127432 
  11. Golesi F, Brignatz J, Bellenfant M, Raoult D, Drancourt M. Mycobacterium tuberculosis Beijing outbreak in a school in Marseille, France, 2012. Euro Surveill. 2013;18(2):20354. PMID: 23324426 
  12. Pezzotti P, Pozzato S, Ferroni E, Mazzocato V, Altieri AM, Gualano G, et al. Delay in diagnosis of pulmonary tuberculosis: a survey in the Lazio region, Italy. Epidemiol Biostat Public Health. 2015 ;12(1).
  13. Schepisi MS, Motta I, Dore S, Costa C, Sotgiu G, Girardi E. Tuberculosis transmission among children and adolescents in schools and other congregate settings: a systematic review. New Microbiol. 2019;41(4):282-90. PMID: 30252926 
  14. Gillman A, Berggren I, Bergström SE, Wahlgren H, Bennet R. Primary tuberculosis infection in 35 children at a Swedish day care center. Pediatr Infect Dis J. 2008;27(12):1078-82.  https://doi.org/10.1097/INF.0b013e31817e83f4  PMID: 18946364 
  15. California Department of Public Health (CDPH). California School Employee Tuberculosis (TB) Risk Assessment Questionnaire. Sacramento: CDPH; 2018. Available from: https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/TBCB-CA-School-Staff-Volunteer-TB-Risk-Assessment.pdf
/content/10.2807/1560-7917.ES.2019.24.24.1900332
Loading

Data & Media loading...

Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error