Molecular Epidemiology of Tuberculosis in a Sentinel Surveillance Population
Supporting Files
Public Domain
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Nov 2002
File Language:
English
Details
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Alternative Title:Emerg Infect Dis
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Description:We conducted a population-based study to assess demographic and risk-factor correlates for the most frequently occurring Mycobacterium tuberculosis genotypes from tuberculosis (TB) patients. The study included all incident, culture-positive TB patients from seven sentinel surveillance sites in the United States from 1996 to 2000. M. tuberculosis isolates were genotyped by IS6110-based restriction fragment length polymorphism and spoligotyping. Genotyping was available for 90% of 11923 TB patients. Overall, 48% of cases had isolates that matched those from another patient, including 64% of U.S.-born and 35% of foreign-born patients. By logistic regression analysis, risk factors for clustering of genotypes were being male, U.S.-born, black, homeless, and infected with HIV; having pulmonary disease with cavitations on chest radiograph and a sputum smear with acid-fast bacilli; and excessive drug or alcohol use. Molecular characterization of TB isolates permitted risk correlates for clusters and specific genotypes to be described and provided information regarding cluster dynamics over time.
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Subjects:
- Adolescent
- Adult
- Aged
- Antitubercular Agents
- Child
- Child, Preschool
- Cluster Analysis
- Racial Groups
- DNA, Bacterial
- Drug Resistance, Multiple, Bacterial
- Female
- Genotype
- Humans
- Infant
- Longitudinal Studies
- Male
- Middle Aged
- Molecular Epidemiology
- Polymorphism, Restriction Fragment Length
- Risk Factors
- Sentinel Surveillance
- Time Factors
- Tuberculosis
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Source:Emerg Infect Dis. 8(11):1197-1209.
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Volume:8
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Issue:11
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Main Document Checksum:urn:sha-512:2566076adeb6a6c8706c31e2d701a046a48cfe7c07cac80fc0cb739aa2a6a7182aa86c08f63cdbdc3fa347111038e7334e040788a3fba0ddbe1cb574efa6e880
Supporting Files
File Language:
English
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Emerging Infectious Diseases