Details:

Alternative Title:
Emerg Infect Dis
Personal Author:
Oeltmann, John E. ; Varma, Jay K. ; Ortega, Luis ; Liu, Yecai ; O’Rourke, Thomas ; ... More +
Oeltmann, John E. ; Varma, Jay K. ; Ortega, Luis ; Liu, Yecai ; O’Rourke, Thomas ; Cano, Maria ; Harrington, Theresa ; Toney, Sean ; Jones, Warren ; Karuchit, Samart ; Diem, Lois ; Rienthong, Dhanida ; Tappero, Jordan W. ; Ijaz, Kashef ; Maloney, Susan A. Less -
Description:
In January 2005, tuberculosis (TB), including multidrug-resistant TB (MDR TB), was reported among Hmong refugees who were living in or had recently immigrated to the United States from a camp in Thailand. We investigated TB and drug resistance, enhanced TB screenings, and expanded treatment capacity in the camp. In February 2005, 272 patients with TB (24 MDR TB) remained in the camp. Among 17 MDR TB patients interviewed, 13 were found to be linked socially. Of 23 MDR TB isolates genotyped, 20 were similar according to 3 molecular typing methods. Before enhanced screening was implemented, 46 TB cases (6 MDR TB) were diagnosed in the United States among 9,455 resettled refugees. After enhanced screening had begun, only 4 TB cases (1 MDR TB), were found among 5,705 resettled refugees. An MDR TB outbreak among US-bound refugees led to importation of disease; enhanced pre-immigration TB screening and treatment decreased subsequent importation.
Subjects:
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Antitubercular Agents Bacterial Typing Techniques Disease Outbreaks DNA, Bacterial Drug Resistance, Multiple, Bacterial Humans Mass Screening Mycobacterium Tuberculosis Refugees Research Sputum Tuberculosis, Multidrug-Resistant
Source:
Emerg Infect Dis. 14(11):1715-1721
Pubmed ID:
18976554
Pubmed Central ID:
PMC2630728
Document Type:
Journal Article
Place as Subject:
Thailand ; United States
Thailand ; United States Less -
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
[+]
urn:sha256:c2456cc90b309212ed210ff2dce1f15e2f7dfb1c94535a9a63bddb58d1b50c22
Download URL:
https://stacks.cdc.gov/view/cdc/3194/cdc_3194_DS1.pdf
File Type:

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