Document Detail


Chest radiograph screening for tuberculosis in a Hong Kong prison.
MedLine Citation:
PMID:  15971389     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
SETTING: Long-stay prisoners are not regularly screened for TB in Hong Kong.
OBJECTIVE: To evaluate tuberculosis (TB) screening in prison.
METHOD: All prisoners in a maximum security prison as of 31 October 2001 were screened by chest radiograph (CXR), except for those being followed up for TB or examined by CXR in the last 6 months.
RESULTS: A total of 814 male prisoners aged 34.6 +/- 9.6 (mean +/- SD) years were successfully screened. Of 53 cases (6.51%) with radiographic abnormalities, 10 active TB cases (8 culture-negative, 2 culture-positive) were diagnosed, giving an overall yield of 1.23% (95%CI 0.59-2.26). There was no statistical difference in age, ethnicity, place of birth or residency status between those with and those without TB (all P > 0.05). Incarceration > or = 2 years, being in current prison > or = 2 years and not having CXR in last 2 years were associated with TB in univariate analysis (all P < 0.05), but only the last remained an independent predictor in multiple logistic regression (OR 16.8, 95%CI 2.1-132.9, P = 0.008). In that group, the yield was 3.1% (95%CI 1.42-5.89). No further cases were detected in the subsequent 2 years.
CONCLUSION: CXR screening of long-stay prisoners gave a high yield in this study.
Authors:
C C Leung; C K Chan; C M Tam; W W Yew; K M Kam; K F Au; L B Tai; S M Leung; J Ng
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease     Volume:  9     ISSN:  1027-3719     ISO Abbreviation:  Int. J. Tuberc. Lung Dis.     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-06-23     Completed Date:  2005-09-22     Revised Date:  2012-03-05    
Medline Journal Info:
Nlm Unique ID:  9706389     Medline TA:  Int J Tuberc Lung Dis     Country:  France    
Other Details:
Languages:  eng     Pagination:  627-32     Citation Subset:  IM    
Affiliation:
Department of Health, TB and Chest Service, 4/F Shaukiwan Jockey Club Clinic, Hong Kong, SAR, China. cc_leung@dh.gov.hk
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MeSH Terms
Descriptor/Qualifier:
Adult
Cohort Studies
Cost-Benefit Analysis
Hong Kong / epidemiology
Humans
Male
Mass Screening* / economics
Pilot Projects
Prevalence
Prisoners*
Prisons*
Risk Factors
Tuberculosis, Pulmonary / epidemiology,  prevention & control*,  radiography
Comments/Corrections
Comment In:
Int J Tuberc Lung Dis. 2011 Oct;15(10):1279   [PMID:  22283882 ]
Int J Tuberc Lung Dis. 2005 Jun;9(6):589   [PMID:  15971382 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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