Source: Annual Congress 2002 - Epidemiology outlooks of tuberculosis
Disease area: Respiratory infections

Abstract

Prison inmates are in high risk group for tuberculosis. The aim of this study is to investigate the tuberculosis risk in Nazilli district prison and the role of tuberculin skin test as a screening method. Data were obtained retrospectively by using the results of a screening program involving the prisoners (Group 1) and prison guards (Group 2). The study groups were consisted of 160 prisoners and 39 prison guards, 125 prisoners and 30 prison guards, 228 prisoners and no guard screened in year 1993, 1994 and 1997 respectively. As the control group, 426 tradesmen screened for tuberculosis in 1998 were studied (Group 3). In the first two year, only the tuberculin skin test had been performed and in 1997, microfilms had also been added for screening. The mean tuberculin skin test results (as induration diameter, milimeter) of three groups were 16.6 ±] 5.7, 18.7 ±] 5.6 and 14.2 ±] 6.4; respectively. Not only the results of prisoners and prison guards were found to be higher than that of the control group's (p values were 0.03, 0.00; respectively), but also the results of prison guards were higher than that of the prisoners' (p= 0.004). Tuberculosis associated radiological findings were found in two of screened 288 prisoners in year 1997 (0.69%). As a result, tuberculin skin test diameters in prison population are higher than in the community population and it is not practical to use only tuberculin skin test for the screening in that high-risk group. Active screening of prisoners for pulmonary tuberculosis by chest microfilms and sputum-smear microscopy and active case-finding studies in the prisons should be added to the tuberculosis control program.

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Citations should be made in the following way:
G. Kiter, S. Arpaz, N. Sezgin, S. Keskin, H. C. Calisir (Denizli, Nazilli, Ankara, Turkey). Tuberculin skin test screening for tuberculosis in Nazilli district prison. Eur Respir J 2002; 20: Suppl. 38, 274

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